Individual provider Active NPI

Lauren H Meffen, CCC/SLP

  • Speech-Language Pathologist
  • Gainesville, FL
National Provider Identifier
1730246190
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA9770 Issued in FL
Practice address
4001 Newberry Rd Ste B1
Gainesville, FL 32607-2300
Phone
(352) 283-0595
Fax
(352) 600-3385
NPI assigned
Jan 3, 2007
Last updated
Nov 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X FL
Speech-Language Pathologist 235Z00000X SA9770 FL Primary

Addresses

Primary practice location

4001 Newberry Rd Ste B1
Gainesville, FL 32607-2300

Mailing address

4001 Newberry Rd Ste B1
Gainesville, FL 32607-2300
Phone (352) 283-0595

Other identifiers 1

IdentifierTypeStateIssuer
UTW0COtherFLBCBS

Other names 1

  • Lauren H Meffen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180226000305 FL Practitioner - Qualified Speech Language Pathologist 1951662444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4040 Newberry Rd
Suite 1150
Gainesville, FL 32607-2493
Phone (352) 283-0595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SA9770FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dream Big My Darling LLC Speech-Language Pathologist CurrentSince Dec 1, 2018 Accepting new patients

Locations

4001 Newberry Rd
Ste B1
Gainesville, FL 32607
Phone (352) 283-0595

4040 Newberry Rd
Ste 1150
Gainesville, FL 32607
Phone (352) 263-0595

2086 SW Main Blvd
Ste 103
Lake City, FL 32025
Phone (352) 283-0595

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1730246190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 NEWBERRY RD STE B1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072300",
            "telephone_number": "352-283-0595",
            "fax_number": "352-600-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 NEWBERRY RD STE B1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072300",
            "telephone_number": "352-283-0595",
            "fax_number": "352-600-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEFFEN",
        "first_name": "LAUREN",
        "middle_name": "H",
        "credential": "CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "UTW0C",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MEFFEN",
            "middle_name": "H",
            "credential": "CCC/SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.