Active NPI
Lauren Alicia O'Connor, M.S.
- Speech-Language Pathologist
- Mammoth Lakes, CA
National Provider Identifier
1821420175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0004520
- Practice address
- 1699 Old Mammoth Rd Apt 4
Mammoth Lakes, CA 93546-6445 - Phone
- (530) 318-6418
- NPI assigned
- Aug 8, 2013
- 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 | 0004520 | CO | Primary |
Addresses
Primary practice location
1699 Old Mammoth Rd Apt 4
Mammoth Lakes, CA 93546-6445
Mailing address
PO Box 810
Mammoth Lakes, CA 93546-0810
Phone (530) 318-6418
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 |
|---|---|---|---|
| 0004520 | CO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1821420175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 810",
"city": "MAMMOTH LAKES",
"state": "CA",
"postal_code": "935460810",
"telephone_number": "530-318-6418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1699 OLD MAMMOTH RD APT 4",
"city": "MAMMOTH LAKES",
"state": "CA",
"postal_code": "935466445",
"telephone_number": "530-318-6418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "LAUREN",
"middle_name": "ALICIA",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "0004520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mammoth Lakes, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.