Active NPI
Lauren Sprouse, M.S. CCC-SLP
- Speech-Language Pathologist
- Columbus, GA
National Provider Identifier
1275911711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3768
- Practice address
- 2424 Double Churches Rd
Columbus, GA 31909-2741 - Phone
- (706) 324-6112
- Fax
- (706) 596-8259
- NPI assigned
- May 17, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP009869 | GA | |
| Speech-Language Pathologist | 235Z00000X | 3768 | AL | Primary |
Addresses
Primary practice location
2424 Double Churches Rd
Columbus, GA 31909-2741
Mailing address
2424 Double Churches Road
Columbus, GA 31909-2741
Phone (706) 324-6112
Other practice location 1
1751 Lingerlost Rd
Killen, AL 35645-8737
Phone (731) 676-2445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181705 | Medicaid | AL |
Other names 1
- Lauren Moser
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3768 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1275911711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2424 DOUBLE CHURCHES ROAD",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319092741",
"telephone_number": "706-324-6112",
"fax_number": "706-596-8259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 DOUBLE CHURCHES RD",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319092741",
"telephone_number": "706-324-6112",
"fax_number": "706-596-8259"
}
],
"practiceLocations": [
{
"address_1": "1751 Lingerlost Rd",
"address_purpose": "LOCATION",
"city": "Killen",
"state": "AL",
"postal_code": "356458737",
"country_code": "US",
"telephone_number": "731-676-2445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPROUSE",
"first_name": "LAUREN",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP009869",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "3768",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181705",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "MOSER",
"credential": "M.S. CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Columbus, GA
- Kristie Michelle Spivey, NP
- Laverne Bee Spivey
- Elizabeth A Spotts, M.A. , BCBA
- Kristen Wells Sprayberry, LCSW
- Kimberly A Springer, CRNA
- Srividya Srinivasamaharaj, M.D.
- St Francis Affiliated Services LLC
- St Francis Affiliated Services LLC
- St Francis Affiliated Services LLC
- St Francis Affiliated Services, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.