Active NPI
Lauryn Matthews, SLP-ASSISTANT
- Speech-Language Assistant
- Dallas, TX
National Provider Identifier
1437708401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 40633
- Practice address
- 12770 Coit Rd Ste 870
Dallas, TX 75251-1455 - Phone
- (972) 756-0500
- Fax
- (972) 756-0448
- NPI assigned
- Sep 11, 2019
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 1997238 | TX | |
| Speech-Language Assistant | 2355S0801X | 40633 | TX | Primary |
Addresses
Primary practice location
12770 Coit Rd Ste 870
Dallas, TX 75251-1455
Mailing address
12770 Coit Rd Ste 870
Dallas, TX 75251-1455
Phone (972) 756-0500
Other practice location 1
2425 E Southlake Blvd Ste 100
Southlake, TX 76092-6675
Phone (817) 442-0222
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1997238 | TX | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oci Acquisition LLC | Current | Accepting new patients | |
| Pediaplex Management Company LLC | Past | Accepting new patients |
Locations
12770 Coit Rd
Ste 870
Dallas, TX 75251
Phone (972) 765-0500
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.
-
- Speech-Language Pathologist
- Southlake, TX
- NPI 1821374687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611360000000",
"number": "1437708401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12770 COIT RD STE 870",
"city": "DALLAS",
"state": "TX",
"postal_code": "752511455",
"telephone_number": "972-756-0500",
"fax_number": "972-756-0448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12770 COIT RD STE 870",
"city": "DALLAS",
"state": "TX",
"postal_code": "752511455",
"telephone_number": "972-756-0500",
"fax_number": "972-756-0448"
}
],
"practiceLocations": [
{
"address_1": "2425 E Southlake Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Southlake",
"state": "TX",
"postal_code": "760926675",
"country_code": "US",
"telephone_number": "817-442-0222",
"fax_number": "817-442-0223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTHEWS",
"first_name": "LAURYN",
"credential": "SLP-ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2021-01-23",
"certification_date": "2021-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "1997238",
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "40633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.