Individual provider Active NPI

Lauren Burke, SLP

  • Speech-Language Pathologist
  • Prattville, AL
National Provider Identifier
1922654870
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
COND.20191081-SP Issued in OH
Practice address
660 McQueen Smith Rd N Ste H
Prattville, AL 36066-7559
Phone
(334) 350-3362
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4999 AL
Speech-Language Pathologist 235Z00000X COND.20191081-SP OH Primary

Addresses

Primary practice location

660 McQueen Smith Rd N Ste H
Prattville, AL 36066-7559

Mailing address

448 Heartsfield Dr
Montgomery, AL 36117-6307

Other practice location 1

6500 Westford Rd
Trotwood, OH 45426-1123
Phone (937) 854-3196

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherN/A

Other names 1

  • Ms. Lauren Brill Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Fusion

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
4999ALMDSpeech-Language Pathologist
COND.20191081-SPOHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1922654870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 HEARTSFIELD DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 MCQUEEN SMITH RD N STE H",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667559",
            "telephone_number": "334-350-3362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 Westford Rd",
            "address_purpose": "LOCATION",
            "city": "Trotwood",
            "state": "OH",
            "postal_code": "454261123",
            "country_code": "US",
            "telephone_number": "937-854-3196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "4999",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.20191081-SP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fusion",
            "affiliation": "N",
            "address_1": "660 McQueen Smith Rd N Ste H",
            "city": "Prattville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "360667559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BRILL",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prattville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.