Organization Active NPI

Dream Big My Darling LLC

  • Health Service Clinic/Center
  • Gainesville, FL
National Provider Identifier
1689196073
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
DREAM BIG MY DARLING LLC
Practice address
4001 Newberry Rd Ste B1
Gainesville, FL 32607-2300
Phone
(352) 283-0595
Fax
(352) 600-3385
NPI assigned
Jul 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Lauren Meffen Reed, CCC/SLP
Title
Speech Language Pathologist
Phone
(352) 283-0595

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

4001 Newberry Rd Ste B1
Gainesville, FL 32607-2300

Mailing address

4340 Newberry Rd Ste 204
Gainesville, FL 32607-2557
Phone (352) 283-0595

Other practice location 1

2086 SW Main Blvd Ste 103
Lake City, FL 32025-0006
Phone (352) 283-0595

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190514001258 FL Part B Supplier - Clinic/Group Practice 2769725837 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, FL

National Provider Directory

National Provider Directory
Tax ID family
Dream Big My Darling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4040 Newberry Rd
Ste 1150
Gainesville, FL 32607
Phone (352) 263-0595

4001 Newberry Rd
Ste B1
Gainesville, FL 32607
Phone (352) 283-0595

Practitioners & affiliated clinicians

Practitioners 3

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": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1689196073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 NEWBERRY RD STE 204",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072557",
            "telephone_number": "352-283-0595",
            "fax_number": "352-600-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 NEWBERRY RD STE B1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072300",
            "telephone_number": "352-283-0595",
            "fax_number": "352-600-3385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2086 SW Main Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320250006",
            "country_code": "US",
            "telephone_number": "352-283-0595",
            "fax_number": "352-600-3385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DREAM BIG MY DARLING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "MEFFEN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "352-283-0595",
        "authorized_official_credential": "CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.