Lauren Tillman, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S3908 Issued in MS

Practice address

627 Middleton Rd
Winona, MS 38967-2021

Phone

(662) 845-4399

Fax

(662) 845-4400

NPI assigned

Apr 21, 2016

Last updated

Apr 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1336593789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 MIDDLETON RD",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389672021",
            "telephone_number": "662-845-4399",
            "fax_number": "662-845-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 MIDDLETON RD",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389672021",
            "telephone_number": "662-845-4399",
            "fax_number": "662-845-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "LAUREN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3908",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "247017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri Shurden
• State of Mississippi - University of Mississippi Medical Center
• Tabitha Nicole Stiff, FNP
• Brooke Ann Thomas, OTR/L
• Kimberly Thompson
• Leianne M Tindall
• Nanda E. Tompkins
• Tiffany Tucker
• Tyler Holmes Memorial Hospital
• Tyler Holmes Memorial Hospital (Winona Fmaily Practice)

• Speech-Language Pathologist in Winona, MS
• Providers in Winona, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.