Lauren Michelle Tankle, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

77802 Issued in MA

Practice address

36 Mechanic St # G1
Foxboro, MA 02035-4005

Phone

(508) 698-7973

Fax

(508) 698-1010

NPI assigned

Jun 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lauren Michelle Gallagher Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Jackson Speech & Language Services

  • Speech-Language Pathologist
  • Foxborough, MA
  • NPI 1639833023
  NPD (past)

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1770151292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CHESTNUT STREET",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "02035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MECHANIC ST # G1",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020354005",
            "telephone_number": "508-698-7973",
            "fax_number": "508-698-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANKLE",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "RI",
            "license": "SP01448",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "77802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jsls.theranest.com/home/login",
            "affiliation": "N",
            "address_1": "36 Mechanic St # G1",
            "city": "Foxboro",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020354005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "GALLAGHER",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steward Pet Imaging, LLC
• Heather Stone, RD, LDN
• Jennifer Strong, PT
• Dianna B Sullivan, DPT
• Patrick William Sweeney, LMHC
• Daniel Gordon Tarlin, LICSW
• Callie Tavares
• Kelley Ann Taylor-Bentz, DC
• Andrew Taylor, M.D.
• Theodore C Ten Eyck II, LICSW

• Speech-Language Pathologist in Foxboro, MA
• Providers in Foxboro, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.