Individual provider Active NPI

Carol P. Lorden-Lancelin, CCC-SLP

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1659691632
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7490 Issued in NC
Practice address
3045 Tifton Grass LN
Charlotte, NC 28269-1423
Phone
(704) 737-9352
NPI assigned
Jun 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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 7490 NC Primary

Addresses

Primary practice location

3045 Tifton Grass LN
Charlotte, NC 28269-1423

Mailing address

3045 Tifton Grass LN
Charlotte, NC 28269-1423
Phone (704) 737-9352

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1659691632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 TIFTON GRASS LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691423",
            "telephone_number": "704-737-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 TIFTON GRASS LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691423",
            "telephone_number": "704-737-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORDEN-LANCELIN",
        "first_name": "CAROL",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.