Loraine Allen, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4386 Issued in NC

Practice address

103 Frehold CT
Cary, NC 27519-7372

Phone

(919) 465-4424

Fax

(919) 465-4427

NPI assigned

Feb 6, 2007

Last updated

Oct 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• KM Pediatric Therapy, Inc.

  • Speech-Language Pathologist
  • Cary, NC
  • NPI 1457309932
  NPD (past) Authorized official

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1871632612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 FREHOLD CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275197372",
            "telephone_number": "919-465-4424",
            "fax_number": "919-465-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 FREHOLD CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275197372",
            "telephone_number": "919-465-4424",
            "fax_number": "919-465-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "LORAINE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "4386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PROVIDER ID",
            "identifier": "188257",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "11425",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7411487",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amelia Louise Allen, LCSWA
• Haylee Allen
• Jerry Arthur Allen III, D.D.S.
• Krista Allen, MSW, LCSW
• Lauren Engstrom Allen, PT
• Mackenzie Nichole Allen
• Mikayla Allen
• Nan Pearl Allen, PHD
• Octavia Shada Allen
• Pamela Dunlap Allen

• Speech-Language Pathologist in Cary, NC
• Providers in Cary, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.