Individual provider Active NPI

Lauren Brudos, MS, CCC-SLP

  • Speech-Language Pathologist
  • St Charles, IL
National Provider Identifier
1700265857
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146012489 Issued in IL
Practice address
40W310 Lafox Rd
Saint Charles, IL 60175-6588
Phone
(630) 444-0077
NPI assigned
May 21, 2015
Last updated
May 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146012489 IL Primary

Addresses

Primary practice location

40W310 Lafox Rd
Saint Charles, IL 60175-6588

Mailing address

40W310 Lafox Rd
Saint Charles, IL 60175-6588
Phone (630) 444-0077

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

LicenseStateTypeSpecialty
146012489ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1700265857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40W310 LAFOX RD",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601756588",
            "telephone_number": "630-444-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40W310 LAFOX RD",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601756588",
            "telephone_number": "630-444-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUDOS",
        "first_name": "LAUREN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146012489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.