Individual provider Active NPI

Lauren Amber Besonen, SLPA

  • Speech-Language Assistant
  • Tempe, AZ
National Provider Identifier
1215388772
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA9853 Issued in AZ
Practice address
1402 E Guadalupe Rd
Unit 152
Tempe, AZ 85283-3917
Phone
(248) 345-4760
NPI assigned
Jun 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA9853 AZ Primary

Addresses

Primary practice location

1402 E Guadalupe Rd
Unit 152
Tempe, AZ 85283-3917

Mailing address

1402 E Guadalupe Rd
Unit 152
Tempe, AZ 85283-3917
Phone (248) 345-4760

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
SLPA9853AZMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1215388772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 E GUADALUPE RD",
            "address_2": "UNIT 152",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833917",
            "telephone_number": "248-345-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 E GUADALUPE RD",
            "address_2": "UNIT 152",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833917",
            "telephone_number": "248-345-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESONEN",
        "first_name": "LAUREN",
        "middle_name": "AMBER",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA9853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.