Lauren Slack Houser, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP011191 Issued in PA

Practice address

1800 Byberry Rd
Suite 703
Huntingdon Valley, PA 19006-3518

Phone

(215) 947-9131

Fax

(215) 947-7194

NPI assigned

Jan 6, 2011

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 identifiers 1

Other names 1

• Lauren Slack Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• David Trumbore, PT, DPT, PC

  • Physical Therapist
  • Huntingdon Valley, PA
  • NPI 1730284100
  NPD (past)

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1346544202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BYBERRY RD",
            "address_2": "SUITE 703",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063518",
            "telephone_number": "215-947-9131",
            "fax_number": "215-947-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BYBERRY RD",
            "address_2": "SUITE 703",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063518",
            "telephone_number": "215-947-9131",
            "fax_number": "215-947-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSER",
        "first_name": "LAUREN",
        "middle_name": "SLACK",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP #",
            "identifier": "SP011191",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "SLACK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Theresa Megan Hood, MPT
• Hope Ambulance Group, Inc.
• James Hopkins, PHD
• Horizon Adult Day Services LLC
• House Call Eye Care, LLC
• HR Physician Services
• HR Physician Services
• HR Physician Services
• HR Physician Services
• Chinmei Hsiao

• All providers in Huntingdon Valley, PA
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.