Active NPI
Lauren E Bland, SLP
- Speech-Language Pathologist
- Louisville, KY
National Provider Identifier
1154535698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0558
- Practice address
- 2520 Bardstown Rd
Suite 8
Louisville, KY 40205-2685 - Phone
- (502) 451-2142
- Fax
- (502) 451-2740
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0558 | KY | Primary |
Addresses
Primary practice location
2520 Bardstown Rd
Suite 8
Louisville, KY 40205-2685
Mailing address
321 Creekwood Ave
Bowling Green, KY 42101-5390
Phone (270) 843-0989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1463 | Other | KY | CBIS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0558 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milburn Services, Inc | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Prospect, KY
- NPI 1386859437
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154535698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 CREEKWOOD AVE",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421015390",
"telephone_number": "270-843-0989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 BARDSTOWN RD",
"address_2": "SUITE 8",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402052685",
"telephone_number": "502-451-2142",
"fax_number": "502-451-2740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAND",
"first_name": "LAUREN",
"middle_name": "E",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "0558",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBIS PROVIDER NUMBER",
"identifier": "1463",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.