Individual provider Active NPI

Lubna Nabulsi, B.S., M.S., CCC-SLP

  • Speech-Language Pathologist
  • Baltimore, MD
National Provider Identifier
1497205132
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
04319 Issued in MD
Practice address
600 Wyndhurst Ave Ste 245C
Baltimore, MD 21210-2436
Phone
(443) 228-3458
Fax
(443) 292-6938
NPI assigned
Oct 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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 04319 MD Primary

Addresses

Primary practice location

600 Wyndhurst Ave Ste 245C
Baltimore, MD 21210-2436

Mailing address

600 Wyndhurst Ave Ste 245C
Baltimore, MD 21210-2436
Phone (443) 228-3458

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161117000750 MD Practitioner - Qualified Speech Language Pathologist 1456630367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 Wyndhurst Ave
Suite 245C
Baltimore, MD 21210-2436
Phone (443) 228-3458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Master of Science

State licenses

LicenseStateTypeSpecialty
04319MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Beacon Clinic LLC Speech-Language Pathologist CurrentSince May 28, 2024 Accepting new patients

Locations

600 Wyndhurst Ave
Ste 245C
Baltimore, MD 21210
Phone (443) 228-3458

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1497205132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WYNDHURST AVE STE 245C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102436",
            "telephone_number": "443-228-3458",
            "fax_number": "443-292-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WYNDHURST AVE STE 245C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102436",
            "telephone_number": "443-228-3458",
            "fax_number": "443-292-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABULSI",
        "first_name": "LUBNA",
        "name_prefix": "Ms.",
        "credential": "B.S., M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "04319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.