Active NPI
Lauren Banasiak, M.S., CCC-SLP
- Speech-Language Pathologist
- Westminster, CO
National Provider Identifier
1770994246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 77766
- Practice address
- 10795 Hobbit LN
Westminster, CO 80031-2244 - Phone
- (815) 315-2405
- NPI assigned
- May 18, 2014
- Last updated
- Mar 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 77766 | CO | Primary |
Addresses
Primary practice location
10795 Hobbit LN
Westminster, CO 80031-2244
Mailing address
10795 Hobbit LN
Westminster, CO 80031-2244
Phone (815) 315-2405
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77766 | CO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whimsy Pediatric Therapy LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Colorado Institute of Developmental Pediatrics | Speech-Language Pathologist | Past | Accepting new patients |
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.
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Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1770994246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10795 HOBBIT LN",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800312244",
"telephone_number": "815-315-2405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10795 HOBBIT LN",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800312244",
"telephone_number": "815-315-2405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANASIAK",
"first_name": "LAUREN",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-18",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "77766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.