Individual provider Active NPI

Lauren Ann Brue, MS ED

  • Specialist
  • Fresh Meadows, NY
National Provider Identifier
1396196390
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
912404151 Issued in NY
Practice address
6725 188TH St
Fresh Meadows, NY 11365-3767
Phone
(718) 454-6460
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 912404151 NY Primary
Specialist 174400000X 912403151 NY

Addresses

Primary practice location

6725 188TH St
Fresh Meadows, NY 11365-3767

Mailing address

10 Corchaug Ave
Port Washington, NY 11050-2004
Phone (516) 717-9699

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
912403151NYMDSpecialist
912404151NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Rothschild OT, LLC Past Accepting new patients
Little Meadows Early Childhood Center Past Accepting new patients

Organizations & group practices 2

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": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1396196390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CORCHAUG AVE",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502004",
            "telephone_number": "516-717-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 188TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653767",
            "telephone_number": "718-454-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUE",
        "first_name": "LAUREN",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "MS ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "912404151",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "912403151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.