Individual provider Active NPI

Lauren Sandy

  • Speech-Language Pathologist
  • Wilmington, NC
National Provider Identifier
1619774171
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30003713 Issued in NC
Practice address
9020 Senca Dr
Wilmington, NC 28411-6679
Phone
(910) 264-9317
NPI assigned
Mar 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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 30003713 NC Primary

Addresses

Primary practice location

9020 Senca Dr
Wilmington, NC 28411-6679

Mailing address

57 Wanchese Rd N Apt 202
Wilmington, NC 28411-8439
Phone (540) 550-6968

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250827002325 NC Practitioner - Qualified Speech Language Pathologist 7719488394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Therapy Solutions, PLLCGroup PAC ID 7113337700, 14 clinicians

Practice addresses (Care Compare)

9020 Senca Dr
Suite 220
Wilmington, NC 28411-6680
Phone (910) 264-9317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30003713NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Therapy Solutions, PLLC Speech-Language Pathologist CurrentSince Aug 1, 2025 Accepting new patients
Wilmington Eye, P.a. PastSince Mar 11, 2025 Accepting new patients

Locations

9020 Senca Dr
Ste 220
Wilmington, NC 28411
Phone (910) 264-9317

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1619774171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 WANCHESE RD N APT 202",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118439",
            "telephone_number": "540-550-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 SENCA DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284116679",
            "telephone_number": "910-264-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDY",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30003713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.