Active NPI
Lauren W. Burgreen, M.A.
- Audiologist
- Griffin, GA
National Provider Identifier
1285865600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD000756
- Practice address
- 681 S 9TH St
Griffin, GA 30224-4215 - Phone
- (770) 228-5745
- NPI assigned
- Aug 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD000756 | GA | Primary |
Addresses
Primary practice location
681 S 9TH St
Griffin, GA 30224-4215
Mailing address
2959 Wildrose CT
Hampton, GA 30228-1629
Phone (770) 472-9317
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD000756 | GA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249257600000",
"number": "1285865600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2959 WILDROSE CT",
"city": "HAMPTON",
"state": "GA",
"postal_code": "302281629",
"telephone_number": "770-472-9317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "681 S 9TH ST",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244215",
"telephone_number": "770-228-5745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGREEN",
"first_name": "LAUREN",
"middle_name": "W.",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-03",
"last_updated": "2009-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD000756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.