Lauren Black

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5643 Issued in SC

Practice address

1361 Jefferson Dr Apt E
Florence, SC 29501

Phone

(845) 325-9704

NPI assigned

Mar 20, 2012

Last updated

Nov 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1972878247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 JEFFERSON DR APT E",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015359",
            "telephone_number": "845-325-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 JEFFERSON DR APT E",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29501",
            "telephone_number": "845-325-9704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Avenue P",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112046105",
            "country_code": "US",
            "telephone_number": "845-325-9704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "LAUREN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015179",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "5643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarek M Bishara, MD
• Matthew Lowell Bishop, DPT
• Stephanie Rogers Bishop, RD
• Black Partners, LLC
• Craig Black
• Neicole Dutton Black, PA-C
• Sharon Lajoyce Black, LISW-CP
• Timothy Blackner
• Billy R Blackwell, M. D.
• Joyce Blackwell, OTR/L

• Occupational Therapist in Florence, SC
• Providers in Florence, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.