Active NPI
Lauryn Norah Pokallus
- Speech-Language Pathologist
- Washington, DC
National Provider Identifier
1699454272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLPCF2000100
- Practice address
- 3801 Connecticut Ave NW Ste 100
Washington, DC 20008-4530 - Phone
- (202) 525-1641
- Fax
- (202) 299-0590
- NPI assigned
- Jul 12, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLPCF2000100 | DC | Primary |
Addresses
Primary practice location
3801 Connecticut Ave NW Ste 100
Washington, DC 20008-4530
Mailing address
802 Capitol Square PL SW
Washington, DC 20024-2416
Phone (770) 315-4885
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 |
|---|---|---|---|
| SLPCF2000100 | DC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1699454272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 CAPITOL SQUARE PL SW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200242416",
"telephone_number": "770-315-4885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 CONNECTICUT AVE NW STE 100",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200084530",
"telephone_number": "202-525-1641",
"fax_number": "202-299-0590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POKALLUS",
"first_name": "LAURYN",
"middle_name": "NORAH",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-12",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "DC",
"license": "SLPCF2000100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.