Individual provider Active NPI

Lauren Nicole Collins, SLP

  • Speech-Language Pathologist
  • Indianapolis, IN
National Provider Identifier
1477391308
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22005579A Issued in IN
Practice address
1300 E 96TH St # 140
Indianapolis, IN 46240-3731
Phone
(317) 525-8386
Fax
(844) 556-4672
NPI assigned
Jul 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 22005579A IN Primary

Addresses

Primary practice location

1300 E 96TH St # 140
Indianapolis, IN 46240-3731

Mailing address

1300 E 96TH St # 140
Indianapolis, IN 46240-3731
Phone (317) 525-8386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240729001731 IN Practitioner - Qualified Speech Language Pathologist 4183160922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurohope of Indiana IncGroup PAC ID 8325365513, 10 clinicians

Practice addresses (Care Compare)

6002 Sunnyside Rd
Indianapolis, IN 46236-2861
Phone (317) 525-8386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22005579AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurohope of Indiana Inc Speech-Language Pathologist CurrentSince Aug 6, 2024 Accepting new patients

Locations

1300 E 96th St
Indianapolis, IN 46240

6002 Sunnyside Rd
Indianapolis, IN 46236
Phone (317) 525-8386

1300 E 96th St
Ste 140
Indianapolis, IN 46240
Phone (317) 525-8386

Organizations & group practices 1

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": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1477391308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E 96TH ST # 140",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403731",
            "telephone_number": "317-525-8386",
            "fax_number": "844-556-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E 96TH ST # 140",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403731",
            "telephone_number": "317-525-8386",
            "fax_number": "844-556-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "LAUREN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22005579A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.