Individual provider Active NPI

Lauren Elaine Forti, M.ED CCC-SLP

  • Speech-Language Pathologist
  • Kennesaw, GA
National Provider Identifier
1437756657
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4173 Issued in AL
Practice address
3105 Creekside Village Dr NW Ste 603604
Kennesaw, GA 30144-2394
Phone
(770) 974-2424
NPI assigned
Oct 1, 2020
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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 4173 AL Primary

Addresses

Primary practice location

3105 Creekside Village Dr NW Ste 603604
Kennesaw, GA 30144-2394

Mailing address

112 Bridgemill Ave
Madison, AL 35756-2619
Phone (770) 846-3267

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

LicenseStateTypeSpecialty
4173ALMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1437756657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BRIDGEMILL AVE",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357562619",
            "telephone_number": "770-846-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 CREEKSIDE VILLAGE DR NW STE 603604",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442394",
            "telephone_number": "770-974-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTI",
        "first_name": "LAUREN",
        "middle_name": "ELAINE",
        "credential": "M.ED CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "4173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.