Individual provider Active NPI

Lauren M Stowe, PHD, CCC-SLP

  • Speech-Language Pathologist
  • San Luis Obispo, CA
National Provider Identifier
1790013639
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13748 Issued in CA
Practice address
1304 Ella St
Ste B2
San Luis Obispo, CA 93401-4162
Phone
(805) 458-2232
Fax
(805) 458-2232
NPI assigned
Dec 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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 13748 CA Primary

Addresses

Primary practice location

1304 Ella St
Ste B2
San Luis Obispo, CA 93401-4162

Mailing address

1215 Joyce CT
San Luis Obispo, CA 93401-5324
Phone (805) 458-2232

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
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Kourosh Bagheri, M.D., M.S., a Professional Corporation CurrentSince Apr 12, 2014 Accepting new patients
The Speech Therapy Group Speech-Language Pathologist PastSince Aug 11, 2011 Accepting new patients

Locations

1234 Laurel Ln
Sn Luis Obisp, CA 93401
Phone (805) 543-2350

1194 Pacific St
Ste 100
Sn Luis Obisp, CA 93401
Phone (805) 458-2232

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1790013639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 JOYCE CT",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015324",
            "telephone_number": "805-458-2232",
            "fax_number": "805-416-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 ELLA ST",
            "address_2": "STE B2",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014162",
            "telephone_number": "805-458-2232",
            "fax_number": "805-458-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOWE",
        "first_name": "LAUREN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-04",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "13748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.