Individual provider Active NPI

Lauren Michele Perry

  • Speech-Language Pathologist
  • Moncks Corner, SC
National Provider Identifier
1750105110
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8092 Issued in SC
Practice address
366 Herty Park Dr
Moncks Corner, SC 29461-8934
Phone
(843) 729-9799
NPI assigned
Nov 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 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 8092 SC Primary

Addresses

Primary practice location

366 Herty Park Dr
Moncks Corner, SC 29461-8934

Mailing address

366 Herty Park Dr
Moncks Corner, SC 29461-8934
Phone (843) 729-9799

Other practice location 1

910 Drewry St NE
Atlanta, GA 30306-3800
Phone (404) 437-6055

Other identifiers 1

IdentifierTypeStateIssuer
8092OtherSCSTATE LICENSING

Other names 1

  • Lauren Michele Singleton Former name

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

LicenseStateTypeSpecialty
8092SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Teamup Therapy LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1750105110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 HERTY PARK DR",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294618934",
            "telephone_number": "843-729-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 HERTY PARK DR",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294618934",
            "telephone_number": "843-729-9799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Drewry St NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303063800",
            "country_code": "US",
            "telephone_number": "404-437-6055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "LAUREN",
        "middle_name": "MICHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "8092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSING",
            "identifier": "8092",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "SINGLETON",
            "middle_name": "MICHELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 12, 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.