Individual provider Active NPI

Lauren Michelle Dean, CCC-SLP

  • Speech-Language Pathologist
  • Hahira, GA
National Provider Identifier
1013343656
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP008180 Issued in GA
Practice address
7288 Mill Ridge Dr
Hahira, GA 31632-2255
Phone
(678) 850-8976
Fax
(229) 375-0536
NPI assigned
Sep 14, 2013
Last updated
Apr 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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 6984 LA
Speech-Language Pathologist 235Z00000X SLP008180 GA Primary

Addresses

Primary practice location

7288 Mill Ridge Dr
Hahira, GA 31632-2255

Mailing address

7288 Mill Ridge Dr
Hahira, GA 31632-2255
Phone (678) 850-8976

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6984LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Play on Words Therapy Services LLC Speech-Language Pathologist CurrentSince Apr 16, 2023 Accepting new patients
Therateam, LLC Speech-Language Pathologist Past Accepting new patients
Therateam Outpatient Services, LLC Past Accepting new patients

Locations

103 James St
Adel, GA 31620
Phone (229) 245-0666

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1379116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1013343656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7288 MILL RIDGE DR",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316322255",
            "telephone_number": "678-850-8976",
            "fax_number": "229-375-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7288 MILL RIDGE DR",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316322255",
            "telephone_number": "678-850-8976",
            "fax_number": "229-375-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-14",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "6984",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hahira, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.