Individual provider Active NPI

Lacie Ogren

  • Speech-Language Pathologist
  • Bend, OR
National Provider Identifier
1972368694
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
16836 Issued in OR
Practice address
520 NW Wall St
Bend, OR 97703-2608
Phone
(541) 355-1000
NPI assigned
Feb 21, 2024
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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 16836 OR Primary

Addresses

Primary practice location

520 NW Wall St
Bend, OR 97703-2608

Mailing address

1028 NW Ogden Ave # 1
Bend, OR 97703-1624
Phone (530) 598-8498

Other practice location 1

1028 NW Ogden Ave # 1
Bend, OR 97703-1624
Phone (530) 598-8498

Other practice location 2

1212 NE 5th St
Redmond, OR 97756-8264
Phone (530) 598-8498

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
16836ORMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1972368694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 NW OGDEN AVE # 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031624",
            "telephone_number": "530-598-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 NW WALL ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032608",
            "telephone_number": "541-355-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1028 NW Ogden Ave # 1",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977031624",
            "country_code": "US",
            "telephone_number": "530-598-8498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 NE 5th St",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977568264",
            "country_code": "US",
            "telephone_number": "530-598-8498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGREN",
        "first_name": "LACIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "16836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.