Individual provider Active NPI

Lorriann Mahan, MS CCCSLP

  • Speech-Language Pathologist
  • Orono, ME
National Provider Identifier
1164581286
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP389 Issued in ME
Practice address
5724 Dunn Hall
Room 336 University of Maine
Orono, ME 04469-5724
Phone
(207) 581-2007
Fax
(207) 581-2060
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP389 ME Primary

Addresses

Primary practice location

5724 Dunn Hall
Room 336 University of Maine
Orono, ME 04469-5724

Mailing address

222 Poplar Street
Old Town, ME 04468-5905
Phone (207) 827-5323

Other identifiers 3

IdentifierTypeStateIssuer
038150OtherMEANTHEM BCBS
5522437OtherAETNA
043110OtherMEANTHEM BCBS

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP389MEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maine 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164581286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 POPLAR STREET",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044685905",
            "telephone_number": "207-827-5323",
            "fax_number": "207-581-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 DUNN HALL",
            "address_2": "ROOM 336 UNIVERSITY OF MAINE",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044695724",
            "telephone_number": "207-581-2007",
            "fax_number": "207-581-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAN",
        "first_name": "LORRIANN",
        "name_prefix": "Ms.",
        "credential": "MS CCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "038150",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5522437",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "043110",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orono, ME

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.

Verify at the official NPI Registry.