Individual provider Active NPI

Lauren S Hoffman

  • Speech-Language Pathologist
  • Bel Air, MD
National Provider Identifier
1174899868
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
06839 Issued in MD
Practice address
260 Gateway Dr Ste 20B
Bel Air, MD 21014-4239
Phone
(443) 720-0585
NPI assigned
Mar 27, 2012
Last updated
Nov 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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 06839 MD Primary

Addresses

Primary practice location

260 Gateway Dr Ste 20B
Bel Air, MD 21014-4239

Mailing address

260 Gateway Dr Ste 20B
Bel Air, MD 21014-4239
Phone (443) 720-0585

Other identifiers 1

IdentifierTypeStateIssuer
444654200MedicaidMD

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

LicenseStateTypeSpecialty
06839MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Graceful Speech-Language Therapy Speech-Language Pathologist CurrentSince Nov 28, 2021 Accepting new patients

Locations

260 Gateway Dr
Ste 20B
Bel Air, MD 21014
Phone (443) 720-0585

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1174899868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 GATEWAY DR STE 20B",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144239",
            "telephone_number": "443-720-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 GATEWAY DR STE 20B",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144239",
            "telephone_number": "443-720-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "LAUREN",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "06839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "444654200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.