Individual provider Active NPI

Lindsey Jeanne Woodruff, M.S.

  • Speech-Language Pathologist
  • Moncks Corner, SC
National Provider Identifier
1508393752
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6491 Issued in SC
Practice address
421 Barony St Ste 3
Moncks Corner, SC 29461-3145
Phone
(843) 790-4093
Fax
(843) 501-2297
NPI assigned
May 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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 6491 SC Primary

Addresses

Primary practice location

421 Barony St Ste 3
Moncks Corner, SC 29461-3145

Mailing address

940 E Estates Blvd Apt N
Charleston, SC 29414-5672
Phone (304) 616-2691

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6491SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Speech & Language LLC Speech-Language Pathologist CurrentSince Sep 29, 2024 Accepting new patients
Vantage Early Intervention, LLC CurrentSince Sep 29, 2024 Accepting new patients

Locations

421 Barony St
Ste 3
Moncks Corner, SC 29461
Phone (843) 513-4960

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1508393752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E ESTATES BLVD APT N",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145672",
            "telephone_number": "304-616-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 BARONY ST STE 3",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613145",
            "telephone_number": "843-790-4093",
            "fax_number": "843-501-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "LINDSEY",
        "middle_name": "JEANNE",
        "name_prefix": "Miss",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.