Active NPI
Lauren Marie Berry, M.S.
- Speech-Language Pathologist
- Omaha, NE
National Provider Identifier
1417101098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 76766SP-SL
- Practice address
- 425 N 30TH St
Omaha, NE 68131-2100 - Phone
- (402) 452-5000
- Fax
- (402) 452-5028
- NPI assigned
- Nov 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 76766SP-SL | MA | Primary |
| Speech-Language Pathologist | 235Z00000X | 1288 | NE |
Addresses
Primary practice location
425 N 30TH St
Omaha, NE 68131-2100
Mailing address
62 Richardson Rd
Melrose, MA 02176
Phone (585) 739-1325
Other names 1
- Lauren Marie Unflat
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1288 | NE | MD | Physical Therapy Assistant |
| 76766SP-SL | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1417101098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 RICHARDSON RD",
"city": "MELROSE",
"state": "MA",
"postal_code": "02176",
"telephone_number": "585-739-1325",
"fax_number": "402-280-8103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 N 30TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312100",
"telephone_number": "402-452-5000",
"fax_number": "402-452-5028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "LAUREN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-10",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "76766SP-SL",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "1288",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "UNFLAT",
"middle_name": "MARIE",
"credential": "SPEECH LANGUAGE PATH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.