Active NPI
Lauren Bracale
- Speech-Language Pathologist
- Columbus, OH
National Provider Identifier
1831826742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.14917
- Practice address
- 8740 Orion PL Ste 110
Columbus, OH 43240-4063 - Phone
- (614) 734-7777
- Fax
- (614) 388-5995
- NPI assigned
- Aug 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | SP.14917 | OH | Primary |
Addresses
Primary practice location
8740 Orion PL Ste 110
Columbus, OH 43240-4063
Mailing address
7298 Greenwood Dr
Sunbury, OH 43074-7614
Phone (419) 560-3795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP.14917 | Other | OH | STATE BOARD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | laurenh@specializedspeech.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.14917 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialized Speech Technologies, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
8740 Orion Pl
Ste 110
Columbus, OH 43240
Phone (614) 724-7777
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Columbus, OH
- NPI 1629192612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1831826742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7298 GREENWOOD DR",
"city": "SUNBURY",
"state": "OH",
"postal_code": "430747614",
"telephone_number": "419-560-3795",
"fax_number": "614-388-5995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8740 ORION PL STE 110",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432404063",
"telephone_number": "614-734-7777",
"fax_number": "614-388-5995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACALE",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-02",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.14917",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD",
"identifier": "SP.14917",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "laurenh@specializedspeech.com",
"affiliation": "N",
"address_1": "8740 Orion Pl Ste 110",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432404063",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.