Individual provider Active NPI

Lauren E Balle, MS CF SLP

  • Speech-Language Pathologist
  • Sarasota, FL
National Provider Identifier
1710309596
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA12740 Issued in FL
Practice address
5968 Clark Center Ave
Sarasota, FL 34238-2715
Phone
(941) 922-8200
Fax
(941) 343-9402
NPI assigned
Jan 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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 SA12740 FL Primary

Addresses

Primary practice location

5968 Clark Center Ave
Sarasota, FL 34238-2715

Mailing address

4232 53Rd Ave W Apt 2507
Bradenton, FL 34210-4410
Phone (941) 807-6278

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)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1710309596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4232 53RD AVE W APT 2507",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342104410",
            "telephone_number": "941-807-6278",
            "fax_number": "941-343-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5968 CLARK CENTER AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382715",
            "telephone_number": "941-922-8200",
            "fax_number": "941-343-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLE",
        "first_name": "LAUREN",
        "middle_name": "E",
        "credential": "MS CF SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.