Lauren Tate Bullock

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

108984 Issued in TX

Practice address

8550 Cadenza LN
Dallas, TX 75228-4923

Phone

(214) 328-4309

Fax

(214) 328-7486

NPI assigned

Jun 20, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lauren Tate Briscoe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dallas Center, Inc.

  • Developmental Disabilities Clinic/Center
  • Dallas, TX
  • NPI 1245304211

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1306250089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 CADENZA LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752284923",
            "telephone_number": "214-328-4309",
            "fax_number": "214-328-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 CADENZA LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752284923",
            "telephone_number": "214-328-4309",
            "fax_number": "214-328-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "LAUREN",
        "middle_name": "TATE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BRISCOE",
            "middle_name": "TATE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Bullington
• Gerald F Bulloch, MD
• Mackenzie Bulloch, FNP-C
• Andrew Bullock, PT, DPT
• Kharmynn Bullock
• Nicole C Bullock, DO
• Sasha Elizabeth Bullock
• Tikeera Bullock
• Alyanna Beatrice Bulseco, CRNA
• Arthur Lee Bumpas III, FNP-C

• Speech-Language Pathologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.