Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Lauren Pankow , CCC-SLP

Speech-Language Pathologist β€’ Estero, FL

Active NPI 1215553177 Individual Practitioner Female Practitioner
Practice location in NPPES

22900 Lyden Dr
Estero, FL 339287044

Call 2392954614 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

22900 Lyden Dr

Estero, FL 339287044

Telephone 2392954614
Organization at the Same NPPES Address or Phone
Lbc Estero Llc Facility NPI 1700549383

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Estero and Florida

14 active clinicians are listed under Speech-Language Pathologist with a practice address in Estero, FL (11,513 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Estero

0% of these 14 clinicians have the CMS telehealth indicator.

0% of these 14 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-26
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA19490

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location October 26, 2023

Registered at 22900 LYDEN DR, ESTERO, FL 339287044 (Tel: 2392954614)

πŸ“
Updated Business Mailing Address October 26, 2023

Registered at 17861 SADDLE RD, PUNTA GORDA, FL 339825148 (Tel: 2392954614)

πŸ‘€
Provider Name / Credentials Updated October 26, 2023

Recorded as LAUREN PANKOW, CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2023

Speech-Language Pathologist (license number reported to NPPES: FL SA19490)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2020

Developmental Therapist

βœ…
NPI Profile Active June 17, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 17, 2020

Registered at 18115 N US HIGHWAY 41 STE 800, LUTZ, FL 335496475 (Tel: 2398513052)

πŸ“
Business Mailing Address (Initial Record) June 17, 2020

Registered at 9559 SUNBELT ST UNIT 207, TAMPA, FL 336356022 (Tel: 2398513052)

πŸ‘€
Provider Name / Credentials (Initial Record) June 17, 2020

Recorded as LAUREN PANKOW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2020

Specialist/Technologist

🟒
Initial NPI Registration & Enumeration June 17, 2020

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1215553177
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2020
Last Update: October 26, 2023
Sole Proprietor: No

Mailing Address

17861 Saddle Rd

Punta Gorda, FL 339825148

Phone: 2392954614

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.