Individual provider Active NPI

Lauren Elisa Staton, OTR/L

  • Occupational Therapist
  • Southlake, TX
National Provider Identifier
1700470176
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
121538 Issued in TX
Practice address
1140 N Kimball Ave
Southlake, TX 76092-5569
Phone
(817) 479-7019
NPI assigned
Feb 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 121538 TX Primary

Addresses

Primary practice location

1140 N Kimball Ave
Southlake, TX 76092-5569

Mailing address

7512 Santolina Dr
Argyle, TX 76226-3820
Phone (972) 310-2811

Other practice location 1

165 E State Highway 121
Coppell, TX 75019-7982
Phone (817) 479-7019

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

LicenseStateTypeSpecialty
121538TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monkey Ears, LLC CurrentSince Sep 23, 2024 Accepting new patients
Monkey Mouths, PLLC Occupational Therapist CurrentSince Sep 23, 2024 Accepting new patients

Locations

1140 N Kimball Ave
Southlake, TX 76092

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1700470176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7512 SANTOLINA DR",
            "city": "ARGYLE",
            "state": "TX",
            "postal_code": "762263820",
            "telephone_number": "972-310-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N KIMBALL AVE",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925569",
            "telephone_number": "817-479-7019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 E State Highway 121",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750197982",
            "country_code": "US",
            "telephone_number": "817-479-7019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STATON",
        "first_name": "LAUREN",
        "middle_name": "ELISA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.