Active NPI
Lauren Berry, SLP
- Speech-Language Pathologist
- Brookhaven, MS
National Provider Identifier
1659119188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S-4607
- Practice address
- 500 Silver Cross Dr Ste a
Brookhaven, MS 39601-2304 - Phone
- (601) 757-7787
- NPI assigned
- Jul 18, 2024
- Last updated
- Jul 18, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S-4607 | MS | Primary |
Addresses
Primary practice location
500 Silver Cross Dr Ste a
Brookhaven, MS 39601-2304
Mailing address
792 White Rd
Florence, MS 39073-9681
Phone (601) 405-5394
Other names 1
- Lauren Griffin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-4607 | MS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carebridge LLC | Current | Accepting new patients |
Locations
500 Silver Cross Dr
Ste A
Brookhaven, MS 39601
Phone (601) 757-7787
800 4th St SW
Magee, MS 39111
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": "1721260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1659119188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "792 WHITE RD",
"city": "FLORENCE",
"state": "MS",
"postal_code": "390739681",
"telephone_number": "601-405-5394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SILVER CROSS DR STE A",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396012304",
"telephone_number": "601-757-7787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "LAUREN",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-18",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S-4607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "GRIFFIN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brookhaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.