Individual provider Active NPI

Lauren Shira Brand

  • Speech-Language Pathologist
  • St Louis Park, MN
National Provider Identifier
1881844322
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9042 Issued in MN
Practice address
5225 Barry St W
St Louis Park, MN 55416-5445
Phone
(952) 873-7300
NPI assigned
Sep 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 9042 MN Primary

Addresses

Primary practice location

5225 Barry St W
St Louis Park, MN 55416-5445

Mailing address

12020 Cambridge CT
Minnetonka, MN 55305-2524
Phone (612) 315-4446

Other practice location 1

447 NW 73rd Ave
Plantation, FL 33317-1608
Phone (954) 583-7383

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

LicenseStateTypeSpecialty
9042MNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1221955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1881844322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12020 CAMBRIDGE CT",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052524",
            "telephone_number": "612-315-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 BARRY ST W",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165445",
            "telephone_number": "952-873-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "447 NW 73rd Ave",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333171608",
            "country_code": "US",
            "telephone_number": "954-583-7383",
            "fax_number": "954-583-7388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAND",
        "first_name": "LAUREN",
        "middle_name": "SHIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-21",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.