Active NPI
Lauren Alexis Allen
- Speech-Language Pathologist
- Star, ID
National Provider Identifier
1881265759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7025
- Practice address
- Star Speech and Occupational Therapy
12222 W Bridger Bay Dr
Star, ID 83669 - Phone
- (208) 503-6953
- NPI assigned
- Jul 1, 2021
- Last updated
- Jul 1, 2021
- 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 | 7025 | ID | Primary |
Addresses
Primary practice location
Star Speech and Occupational Therapy
12222 W Bridger Bay Dr
Star, ID 83669
Mailing address
28273 Country LN
Caldwell, ID 83607-7531
Phone (626) 232-9237
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 |
|---|---|---|---|
| 7025 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Speech and Occupational Therapy LLC | Speech-Language Pathologist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Star, ID
- NPI 1669917571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1881265759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28273 COUNTRY LN",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836077531",
"telephone_number": "626-232-9237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STAR SPEECH AND OCCUPATIONAL THERAPY",
"address_2": "12222 W BRIDGER BAY DR",
"city": "STAR",
"state": "ID",
"postal_code": "83669",
"telephone_number": "208-503-6953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "LAUREN",
"middle_name": "ALEXIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-01",
"last_updated": "2021-07-01",
"certification_date": "2021-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "7025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Star, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.