Lucas Northern, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

006772 Issued in CT

Practice address

30 Buxton Farm Rd Ste 230
Stamford, CT 06905-1206

Phone

(203) 212-4191

NPI assigned

Aug 8, 2022

Sex

Male

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1396472486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BUXTON FARM RD STE 230",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BUXTON FARM RD STE 230",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051206",
            "telephone_number": "203-212-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHERN",
        "first_name": "LUCAS",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "006772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP",
            "identifier": "006772",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "caryn@hqhtherapy.com",
            "affiliation": "N",
            "address_1": "30 Buxton Farm Rd Ste 230",
            "city": "Stamford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "069051206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mohammed Abdulkadir Nor
• Nordberg Plastic Surgery Center, LLC
• Norma Medical Massage
• Enid S. Norris, MS, LMFT
• North Stamford Medical Associate
• Norwalk Gynecology Center LLC
• Norwalk Hearing Aid Centre
• Shimrat R Notik, MD
• Helena Novelli, ADN,RN
• Lauren Novy, APRN

• Speech-Language Pathologist in Stamford, CT
• Providers in Stamford, CT by specialty
• Speech-Language Pathologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.