Suzanne Elaine Lauritsen

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2692 Issued in OK

Practice address

117 W 5TH St Ste 1
Bartlesville, OK 74003-6651

Phone

(918) 203-3313

Fax

(918) 512-4089

NPI assigned

Jun 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bartlesville Pediatric Occupational Therapy, LLC

  • Pediatric Occupational Therapist
  • Bartlesville, OK
  • NPI 1285298604

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1457975310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W 5TH ST STE 1",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740036651",
            "telephone_number": "918-203-3313",
            "fax_number": "918-512-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W 5TH ST STE 1",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740036651",
            "telephone_number": "918-203-3313",
            "fax_number": "918-512-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURITSEN",
        "first_name": "SUZANNE",
        "middle_name": "ELAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "2692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "12027458",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK BOARD OF EXAMINERS FOR SPEECH-LANGUAGE & AUDIOLOGY",
            "identifier": "2692",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "efax",
            "affiliation": "N",
            "endpointDescription": "server",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Bartlesville",
            "address_1": "117 W 5th St Ste 1",
            "city": "Bartlesville",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740036651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jody Lane
• John B Lard, D.D.S.
• Joseph Cooper Lard, DDS
• Kelly Gwili Largess, PT
• Laura E Fisher PHD Inc
• Christopher Lavers, PA-C
• Ashley L Lawhorn
• Carissa Lawrence
• Joshua Lawson
• Melissa J Leach, PT

• Speech-Language Pathologist in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.