Active NPI
Lauren Ashley Shields, MS, CCC-SLP
- Speech-Language Pathologist
- Marietta, GA
National Provider Identifier
1932616877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP007606
- Practice address
- 2430 Stockton Dr
Marietta, GA 30066-2142 - Phone
- (217) 836-2706
- NPI assigned
- Dec 31, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | SLP007606 | GA | Primary |
Addresses
Primary practice location
2430 Stockton Dr
Marietta, GA 30066-2142
Mailing address
2430 Stockton Dr
Marietta, GA 30066-2142
Phone (217) 836-2706
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP007606 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514678400000",
"number": "1932616877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2430 STOCKTON DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300662142",
"telephone_number": "217-836-2706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 STOCKTON DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300662142",
"telephone_number": "217-836-2706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "LAUREN",
"middle_name": "ASHLEY",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-31",
"last_updated": "2017-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP007606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
- Mita Nandan Sheth, DMD
- Ushma Sheth
- Anita Kanithahalli Shetty, M.D.
- Heather Allen Shields, ACCNS-AG, NP-C
- Kristina Shields
- Nicole Shields, AU.D.
- Mesafint Tadesse Shiferaw, MD
- Shilo Enterprises PC (Thrive Wellness Center)
- Shiloh Valley Clinic LLC
- Shingala Dental Associates LLC (Thornton Dental Wellness)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.