Organization Active NPI

Lattice Educational Services

  • Speech-Language Pathologist
  • Santa Rosa, CA
National Provider Identifier
1689133076
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LATTICE EDUCATIONAL SERVICES
Practice address
3273 Airway Dr Ste a
Santa Rosa, CA 95403-2080
Phone
(707) 571-1234
NPI assigned
Mar 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Nancy Alcott
Title
Executive Director
Phone
(707) 571-1234

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

3273 Airway Dr Ste a
Santa Rosa, CA 95403-2080

Mailing address

3273 Airway Dr Ste a
Santa Rosa, CA 95403-2080
Phone (707) 571-1234

Other names 1

  • Lattice Educational Services Doing business as

National Provider Directory

National Provider Directory

Locations

3273 Airway Dr
Ste A
Santa Rosa, CA 95403
Phone (707) 571-1234

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1689133076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3273 AIRWAY DR STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032080",
            "telephone_number": "707-571-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3273 AIRWAY DR STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032080",
            "telephone_number": "707-571-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATTICE EDUCATIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ALCOTT",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-571-1234"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lattice Educational Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.