Active NPI
Lauren Michelle Brock, M.S. CCC-SLP
- Speech-Language Pathologist
- Raleigh, NC
National Provider Identifier
1508264664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9452
- Practice address
- 2709 Blue Ridge Rd
Suite 200
Raleigh, NC 27607-6462 - Phone
- (919) 784-4677
- NPI assigned
- Dec 5, 2014
- Last updated
- Mar 10, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9452 | NC | Primary |
Addresses
Primary practice location
2709 Blue Ridge Rd
Suite 200
Raleigh, NC 27607-6462
Mailing address
2709 Blue Ridge Rd
Suite 200
Raleigh, NC 27607-6462
Other practice location 1
2901 Blue Ridge Rd Ste 102
Raleigh, NC 27607-6423
Phone (919) 784-6878
Other names 1
- Laura Michelle Van Husen
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lbrock6298@direct.UNC.nchie.net | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rex Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- lbrock6298@direct.unc.nchie.net
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.
-
dba Rex Radiology Specialists
- Diagnostic Radiology Physician
- Raleigh, NC
- NPI 1831613363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1508264664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2709 BLUE RIDGE RD",
"address_2": "SUITE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2709 BLUE RIDGE RD",
"address_2": "SUITE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076462",
"telephone_number": "919-784-4677"
}
],
"practiceLocations": [
{
"address_1": "2901 Blue Ridge Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276076423",
"country_code": "US",
"telephone_number": "919-784-6878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROCK",
"first_name": "LAUREN",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-05",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "9452",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lbrock6298@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "cda/ccd/txt",
"address_1": "2901 Blue Ridge Rd Ste 102",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276076423",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LAURA",
"last_name": "VAN HUSEN",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.