Christal Grace Lazenby, BA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

508 Autumn Springs CT Ste 1a
Franklin, TN 37067-8274

Phone

(909) 809-4700

NPI assigned

Jan 5, 2024

Last updated

Jan 5, 2024By 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 1

Addresses

Other names 1

• Christal Grace Lauderback Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1598535080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HOWARD DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 AUTUMN SPRINGS CT STE 1A",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678274",
            "telephone_number": "909-809-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZENBY",
        "first_name": "CHRISTAL",
        "middle_name": "GRACE",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTAL",
            "last_name": "LAUDERBACK",
            "middle_name": "GRACE",
            "credential": "AA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matt McKenzie Lawyer, DDS
• Stephanie Layhe, P.T.
• Taylor Layland, PT
• Carley Layne, PTA
• Robert Glenn Layton, MD
• Kristin Kelle Lazenby, M.ED., CCC-SLP
• Jennifer Lecoguic, P.T.
• Savannah Nicole Ledbetter
• Natalie Ledin
• Lee Medical Inc.

• Speech-Language Assistant in Franklin, TN
• Providers in Franklin, TN by specialty
• Speech-Language Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.