Active NPI
Morgan Lindsey Berggren
- Speech-Language Pathologist
- Southaven, MS
National Provider Identifier
1457928533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S-4812
- Practice address
- 5271 Getwell Rd Ste a
Southaven, MS 38672-9608 - Phone
- (662) 349-3512
- Fax
- (662) 772-5925
- NPI assigned
- Jun 8, 2021
- 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 | MS | ||
| Speech-Language Pathologist | 235Z00000X | S-4812 | MS | Primary |
Addresses
Primary practice location
5271 Getwell Rd Ste a
Southaven, MS 38672-9608
Mailing address
5518 Highway 178 W
Red Banks, MS 38661-9629
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 |
|---|---|---|---|
| S-4812 | MS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1457928533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5518 HIGHWAY 178 W",
"city": "RED BANKS",
"state": "MS",
"postal_code": "386619629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5271 GETWELL RD STE A",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386729608",
"telephone_number": "662-349-3512",
"fax_number": "662-772-5925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGGREN",
"first_name": "MORGAN",
"middle_name": "LINDSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-08",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S-4812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.