Individual provider Active NPI

Lauren Bridgman, SLPA

  • Speech-Language Pathologist
  • Hobbs, NM
National Provider Identifier
1760874887
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SAJ-2024-0301 Issued in NM
Practice address
315 E Clinton St
Hobbs, NM 88240-8238
Phone
(575) 393-0755
NPI assigned
Feb 26, 2015
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6100-R CA
Speech-Language Assistant 2355S0801X SLPA6834 NM
Speech-Language Pathologist 235Z00000X SAJ-2024-0301 NM Primary

Addresses

Primary practice location

315 E Clinton St
Hobbs, NM 88240-8238

Mailing address

315 E Clinton St
Hobbs, NM 88240-8238
Phone (575) 393-0755

Other practice location 1

2400 N Grimes St Ste B26
Hobbs, NM 88240-2124
Phone (575) 437-2001

Other practice location 2

1018 21st St
Bakersfield, CA 93301-4709
Phone (661) 861-9967

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
6100-RCAMDAddiction (Substance Use Disorder) Counselor
SLPA6834NMMDSpeech-Language Assistant
SAJ-2024-0301NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kommunikare Therapy PC Speech-Language Pathologist CurrentSince Oct 6, 2019 Accepting new patients

Organizations & group practices 1

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": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1760874887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E CLINTON ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882408238",
            "telephone_number": "575-393-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E CLINTON ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882408238",
            "telephone_number": "575-393-0755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 N Grimes St Ste B26",
            "address_purpose": "LOCATION",
            "city": "Hobbs",
            "state": "NM",
            "postal_code": "882402124",
            "country_code": "US",
            "telephone_number": "575-437-2001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1018 21st St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933014709",
            "country_code": "US",
            "telephone_number": "661-861-9967",
            "fax_number": "661-861-9967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIDGMAN",
        "first_name": "LAUREN",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "6100-R",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NM",
            "license": "SLPA6834",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SAJ-2024-0301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobbs, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.