Active NPI
Lauren Birch, M.S., CCC-SLP
- Speech-Language Pathologist
- Port Orange, FL
National Provider Identifier
1689760977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10531
- Practice address
- 4081 Clock Tower Drive
Port Orange, FL 32129-4518 - Phone
- (386) 299-2393
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2288 | AL | |
| Speech-Language Pathologist | 235Z00000X | 10531 | FL | Primary |
Addresses
Primary practice location
4081 Clock Tower Drive
Port Orange, FL 32129-4518
Mailing address
4081 Clock Tower Drive
Port Orange, FL 32129
Phone (386) 299-2393
Other practice location 1
3057 Lorna Rd Ste 220
Birmingham, AL 35216-4518
Phone (205) 987-8080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51533864 | Other | AL | B/C B/S OF AL |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10531 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1689760977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4081 CLOCK TOWER DRIVE",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "32129",
"telephone_number": "386-299-2393",
"fax_number": "386-299-2393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4081 CLOCK TOWER DRIVE",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321294518",
"telephone_number": "386-299-2393"
}
],
"practiceLocations": [
{
"address_1": "3057 Lorna Rd Ste 220",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352164518",
"country_code": "US",
"telephone_number": "205-987-8080",
"fax_number": "205-987-8080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIRCH",
"first_name": "LAUREN",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "2288",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "10531",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B/C B/S OF AL",
"identifier": "51533864",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.