Active NPI
Lauren Bannon
- Occupational Therapist
- Manchester, NH
National Provider Identifier
1689328288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2766
- Practice address
- 195 McGregor St Ste 400
Manchester, NH 03102-3779 - Phone
- (603) 206-2700
- NPI assigned
- Feb 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2766 | NH | Primary |
Addresses
Primary practice location
195 McGregor St Ste 400
Manchester, NH 03102-3779
Mailing address
539 River Rd
Manchester, NH 03104-1980
Phone (603) 657-4816
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2766 | NH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1689328288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 RIVER RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031041980",
"telephone_number": "603-657-4816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 MCGREGOR ST STE 400",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031023779",
"telephone_number": "603-206-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANNON",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-11",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "2766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.