Individual provider Active NPI

Lauren Christine McIntosh, MS CCCSLP

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1053507343
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7562 Issued in NC
Practice address
10965 Winds Crossing Dr
Suite #100
Charlotte, NC 21273-2400
Phone
(704) 504-2194
Fax
(704) 504-2197
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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 7562 NC Primary

Addresses

Primary practice location

10965 Winds Crossing Dr
Suite #100
Charlotte, NC 21273-2400

Mailing address

10965 Winds Crossing Dr
Suite #100
Charlotte, NC 21273-2400
Phone (704) 504-2194

Other names 1

  • Ms. Lauren Christine Mountjoy Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7562NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Steele Creek Physical Therapy & Balance Center Inc Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1053507343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10965 WINDS CROSSING DR",
            "address_2": "SUITE #100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "212732400",
            "telephone_number": "704-504-2194",
            "fax_number": "704-504-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10965 WINDS CROSSING DR",
            "address_2": "SUITE #100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "212732400",
            "telephone_number": "704-504-2194",
            "fax_number": "704-504-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "LAUREN",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "MS CCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MOUNTJOY",
            "middle_name": "CHRISTINE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.