Lorae Michelle Madden, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

3297 Issued in CA

Practice address

955 Walnut Ave
Vallejo, CA 94592-1021

Phone

(707) 651-9915

NPI assigned

Jan 9, 2023

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

State licenses

Practice roles

Locations

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.

• Itherapy, a Speech Pathology Corporation

  • Speech-Language Pathologist
  • Vallejo, CA
  • NPI 1083215792
  NPD

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1609580216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 WALNUT AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945921021",
            "telephone_number": "707-651-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 WALNUT AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945921021",
            "telephone_number": "707-651-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "LORAE",
        "middle_name": "MICHELLE",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "3297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcela Macias, M.A.
• Hibris Maciel
• Laurie John Mackenzie, FNP
• Chad Edward Maclachlan, MD
• Antoinette Teresa Maddalone
• Madhusudan Borde M.D. Inc.
• Anna Deering Madonna, RN, CRNA
• Chigozie Meziri Maduchukwu
• Natividad Magallon
• Michael Vallejos Magalong, MS

• Speech-Language Assistant in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.