Organization Active NPI

Lauren Bair M.a. CCC-SLP, LLC

Doing business as Blossom Speech and Feeding

  • Clinic/Center
  • Stroudsburg, PA
National Provider Identifier
1376281790
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LAUREN BAIR M.A. CCC-SLP, LLC
Doing business as
Blossom Speech and Feeding
Practice address
1845 W Main St Ste 102
Stroudsburg, PA 18360-1054
Phone
(908) 509-7340
NPI assigned
May 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

Name
Lauren Beth BairNPI 1528314655
Title
Member
Phone
(215) 704-2637

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1845 W Main St Ste 102
Stroudsburg, PA 18360-1054

Mailing address

187 Godfreys Gate
Stroudsburg, PA 18360-6453
Phone (215) 704-2637

Other names 1

  • Blossom Speech and Feeding Doing business as

National Provider Directory

National Provider Directory

Locations

1845 W Main St
Ste 102
Stroudsburg, PA 18360
Phone (908) 509-7340

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1376281790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 GODFREYS GATE",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183606453",
            "telephone_number": "215-704-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 W MAIN ST STE 102",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601054",
            "telephone_number": "908-509-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN BAIR M.A. CCC-SLP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "BAIR",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "215-704-2637"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossom Speech and Feeding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.