Active NPI
Lauren Lynne Foote, CCC-SLP
- Speech-Language Pathologist
- Jacksonville, FL
National Provider Identifier
1194357517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA18700
- Practice address
- 4101 College St # 1
Jacksonville, FL 32205-5318 - Phone
- (904) 387-0370
- NPI assigned
- Feb 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | SZ9426 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA18700 | FL | Primary |
Addresses
Primary practice location
4101 College St # 1
Jacksonville, FL 32205-5318
Mailing address
3528 Lawrence Rd
Orange Park, FL 32073-6965
Phone (904) 713-7752
Other practice location 1
1010 N Davis St
Jacksonville, FL 32209-6824
Phone (904) 355-3403
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA18700 | FL | MD | Speech-Language Pathologist |
| SZ9426 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech & Hearing Center, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
| Jacksonville Speech & Hearing Center, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
| Developmental Learning Center, Inc | Speech-Language Pathologist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Occupational Therapist
- Jacksonville, FL
- NPI 1477518587
Speech-Language Pathologist
-
- Audiologist
- Jacksonville, FL
- NPI 1346351301
Speech-Language Pathologist
-
- Speech-Language Pathologist
- Jacksonville, FL
- NPI 1295802478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1194357517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3528 LAWRENCE RD",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320736965",
"telephone_number": "904-713-7752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 COLLEGE ST # 1",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322055318",
"telephone_number": "904-387-0370"
}
],
"practiceLocations": [
{
"address_1": "1010 N Davis St",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322096824",
"country_code": "US",
"telephone_number": "904-355-3403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOOTE",
"first_name": "LAUREN",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-05",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ9426",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA18700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.