Individual provider Active NPI

Lauren G Hymanson

  • Speech-Language Pathologist
  • Bradley Beach, NJ
National Provider Identifier
1861255507
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS01000600 Issued in NJ
Practice address
201 Lareine Ave Apt 402
Bradley Beach, NJ 07720-1361
Phone
(732) 977-8965
NPI assigned
Feb 5, 2024
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 030284 NY
Speech-Language Pathologist 235Z00000X SLP.0005564 CO
Speech-Language Pathologist 235Z00000X 36079 CA
Speech-Language Pathologist 235Z00000X 7598 CT
Speech-Language Pathologist 235Z00000X 41YS01000600 NJ Primary

Addresses

Primary practice location

201 Lareine Ave Apt 402
Bradley Beach, NJ 07720-1361

Mailing address

201 Lareine Ave Apt 402
Bradley Beach, NJ 07720-1361
Phone (732) 977-8965

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

State licenses

LicenseStateTypeSpecialty
030284NYMDPhysical Therapist
36079CAMDCritical Care Registered Respiratory Therapist
SLP.0005564COMDSpeech-Language Pathologist
41YS01000600NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1861255507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LAREINE AVE APT 402",
            "city": "BRADLEY BEACH",
            "state": "NJ",
            "postal_code": "077201361",
            "telephone_number": "732-977-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LAREINE AVE APT 402",
            "city": "BRADLEY BEACH",
            "state": "NJ",
            "postal_code": "077201361",
            "telephone_number": "732-977-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYMANSON",
        "first_name": "LAUREN",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030284",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0005564",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "36079",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "7598",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01000600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradley Beach, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.