Individual provider Active NPI

Lauren Vaneman, SPEECH SPECIALIST

  • Speech-Language Pathologist
  • Los Angeles, CA
National Provider Identifier
1659537413
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
V555525859280 Issued in CA
Practice address
1111 W 6TH St
Suite 111
Los Angeles, CA 90017-1800
Phone
(323) 622-0731
Fax
(323) 340-8298
NPI assigned
Jul 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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 V555525859280 CA Primary

Addresses

Primary practice location

1111 W 6TH St
Suite 111
Los Angeles, CA 90017-1800

Mailing address

644 Westbourne Dr Apt 1
West Hollywood, CA 90069-5124
Phone (323) 622-0731

Other identifiers 1

IdentifierTypeStateIssuer
V555525859280OtherCASTATE OF CALIFORNIA

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
V555525859280CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1659537413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 WESTBOURNE DR APT 1",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900695124",
            "telephone_number": "323-622-0731",
            "fax_number": "323-340-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W 6TH ST",
            "address_2": "SUITE 111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171800",
            "telephone_number": "323-622-0731",
            "fax_number": "323-340-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANEMAN",
        "first_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "SPEECH SPECIALIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "V555525859280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA",
            "identifier": "V555525859280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.