Individual provider Active NPI

Lori Noble, CCC-SLP

  • Speech-Language Pathologist
  • Voorhees, NJ
National Provider Identifier
1275190431
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00962700 Issued in NJ
Practice address
306 W Somerdale Rd
Voorhees, NJ 08043-2237
Phone
(856) 504-3150
Fax
(856) 504-3157
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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 41YS00962700 NJ Primary

Addresses

Primary practice location

306 W Somerdale Rd
Voorhees, NJ 08043-2237

Mailing address

306 W Somerdale Rd
Voorhees, NJ 08043-2237
Phone (856) 504-3150

Other names 1

  • Lori Hare Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190617003321 NJ Practitioner - Qualified Speech Language Pathologist 0446583884 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Independence Therapy Rehabilitation Inc CurrentSince May 23, 2019 Accepting new patients

Locations

300 W Somerdale Rd
Ste 2B
Voorhees, NJ 08043
Phone (856) 504-3150

306 W Somerdale Rd
Voorhees, NJ 08043
Phone (856) 504-3150

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": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1275190431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W SOMERDALE RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432237",
            "telephone_number": "856-504-3150",
            "fax_number": "856-504-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W SOMERDALE RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432237",
            "telephone_number": "856-504-3150",
            "fax_number": "856-504-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "LORI",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00962700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "HARE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.