Individual provider Active NPI

Juanita J Lloyd, M.A.,CCC-SLP

  • Speech-Language Pathologist
  • Auburn, AL
National Provider Identifier
1487831517
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1188 Issued in AL
Practice address
1199 Haley Center
Auburn, AL 36849-0001
Phone
(334) 844-9600
Fax
(334) 844-9684
NPI assigned
Jan 31, 2008
Last updated
May 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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 1188 AL Primary

Addresses

Primary practice location

1199 Haley Center
Auburn, AL 36849-0001

Mailing address

1199 Haley Center
Auburn, AL 36849-0001
Phone (334) 844-9600

Other identifiers 2

IdentifierTypeStateIssuer
890004860MedicaidAL
262974MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230524001370 AL Practitioner - Qualified Speech Language Pathologist 2365760188 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1188ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn University Speech-Language Pathologist CurrentSince Apr 17, 2023 Accepting new patients
Auburn University CurrentSince Apr 17, 2023 Accepting new patients

Locations

1199 Haley Ctr
Auburn University, AL 36849
Phone (334) 844-9600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1487831517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 HALEY CENTER",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368490001",
            "telephone_number": "334-844-9600",
            "fax_number": "334-844-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 HALEY CENTER",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368490001",
            "telephone_number": "334-844-9600",
            "fax_number": "334-844-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOYD",
        "first_name": "JUANITA",
        "middle_name": "J",
        "credential": "M.A.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "1188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890004860",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262974",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.