Lauren Piccillo Bernhard, M.ED

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202005765 Issued in VA

Practice address

3750 Old Lee Hwy
Fairfax, VA 22030-1806

Phone

(703) 901-6302

NPI assigned

Jun 10, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851527345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 LORCOM CT",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521320",
            "telephone_number": "757-749-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 OLD LEE HWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220301806",
            "telephone_number": "703-901-6302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6506 Loisdale Rd",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221501824",
            "country_code": "US",
            "telephone_number": "703-924-4119",
            "fax_number": "703-922-5048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNHARD",
        "first_name": "LAUREN",
        "middle_name": "PICCILLO",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael John Bermel, O.D.
• Steven Bernabeu, DC
• Holly M Bernard, MD
• Bernardo Hirshman M.D.and Jose a. Apud M.D. PHD., P.a.
• Kristen Noelle Bernarducci, M.S. CCC-SLP
• Brendan John Bernhart, D.D.S.
• Angela Jo Bernier, OTR/L
• Christine Anne Berry
• David R Berry, M.D.
• Elois Dorothy Berry, M.S., ED.S.

• Speech-Language Pathologist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.