Individual provider Active NPI

Lauren Himmighoefer, CCC, SLP, BCBA LABA

  • Speech-Language Pathologist
  • Worcester, MA
National Provider Identifier
1548658172
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9182 Issued in MA
Practice address
691 Grafton St Ste 2
Worcester, MA 01604-3185
Phone
(508) 304-9804
NPI assigned
Jan 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 3677 MA
Speech-Language Pathologist 235Z00000X 9182 MA Primary

Addresses

Primary practice location

691 Grafton St Ste 2
Worcester, MA 01604-3185

Mailing address

40 Stowe Rd
Grafton, MA 01519-1409
Phone (086) 411-3835

Other names 1

  • Lauren Mossman Former name

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

LicenseStateTypeSpecialty
9182MAMDProsthodontist
3677MAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1548658172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 STOWE RD",
            "city": "GRAFTON",
            "state": "MA",
            "postal_code": "015191409",
            "telephone_number": "086-411-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 GRAFTON ST STE 2",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016043185",
            "telephone_number": "508-304-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMMIGHOEFER",
        "first_name": "LAUREN",
        "credential": "CCC, SLP, BCBA LABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "3677",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "9182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MOSSMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.

Verify at the official NPI Registry.