Nicole Lundburg

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

13261 Issued in CA

Practice address

22431 Kingston LN
Grass Valley, CA 95949-7706

Phone

(530) 268-2815

NPI assigned

Sep 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Chicago Park Elementary School District

  • Local Education Agency (LEA)
  • Grass Valley, CA
  • NPI 1548149859
  NPD (past)

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1568010437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 BANNER LAVA CAP RD",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959593418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22431 KINGSTON LN",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959497706",
            "telephone_number": "530-268-2815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17700 McCourtney Rd",
            "address_purpose": "LOCATION",
            "city": "Grass Valley",
            "state": "CA",
            "postal_code": "959497636",
            "country_code": "US",
            "telephone_number": "530-273-3664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15725 Mount Olive Rd",
            "address_purpose": "LOCATION",
            "city": "Grass Valley",
            "state": "CA",
            "postal_code": "959457906",
            "country_code": "US",
            "telephone_number": "530-346-2153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDBURG",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "13261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Raquel Lozano
• Margaret Luce, LMFT
• Paulette Maria Lucier, PH.D., LMFT
• Thomas William Luisetti, MD
• Megan Colleen Taplin Lukkonen, LEP, BCBA
• Peter Toan-Ngoc Luong, DDS
• Jessica Lee Lusignan, FNP-BC
• Chelsea Elizabeth Lynch, PT
• Leandra Lyon, DO
• James M Mabry, PA-C

• Speech-Language Pathologist in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.