NPIMap

Organization Active NPI

Lake Speech and Language Evaluation and Treatment Services, Inc.

  • Speech-Language Pathologist
  • Clermont, FL
National Provider Identifier
1821385337
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA8291 Issued in FL
Legal business name
LAKE SPEECH AND LANGUAGE EVALUATION AND TREATMENT SERVICES, INC.
Practice address
835 7TH St
Suite 7
Clermont, FL 34711-2190
Phone
(352) 432-3998
Fax
(352) 432-3999
NPI assigned
Jul 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2011

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

Authorized official

Name
Elizabeth S Lobaina, SLP
Title
Director/ Owner
Phone
(352) 432-3998

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SA8291 FL Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SA8887 FL
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SA8158 FL

Addresses

Primary practice location

835 7TH St
Suite 7
Clermont, FL 34711-2190

Mailing address

835 7TH St
Suite 7
Clermont, FL 34711-2190
Phone (352) 432-3998

Other identifiers 2

IdentifierTypeStateIssuer
002940100MedicaidFL
892301900MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1821385337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 7TH ST",
            "address_2": "SUITE 7",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112190",
            "telephone_number": "352-432-3998",
            "fax_number": "352-432-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 7TH ST",
            "address_2": "SUITE 7",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112190",
            "telephone_number": "352-432-3998",
            "fax_number": "352-432-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SPEECH AND LANGUAGE EVALUATION AND TREATMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "LOBAINA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "352-432-3998",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8291",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8887",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8158",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002940100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892301900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.