Active NPI
Lauren Johnson
- Speech-Language Pathologist
- Greenville, SC
National Provider Identifier
1952723173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5421
- Practice address
- 1306 Pelham Rd
Greenville, SC 29615-3600 - Phone
- (636) 222-2048
- NPI assigned
- Jan 7, 2014
- 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 | 5421 | SC | Primary |
Addresses
Primary practice location
1306 Pelham Rd
Greenville, SC 29615-3600
Mailing address
1306 Pelham Rd
Greenville, SC 29615-3600
Phone (636) 222-2048
Other practice location 1
25 Fairhope Ln
Greenville, SC 29617-1228
Phone (636) 222-2048
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1952723173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 PELHAM RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153600",
"telephone_number": "636-222-2048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 PELHAM RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153600",
"telephone_number": "636-222-2048"
}
],
"practiceLocations": [
{
"address_1": "25 Fairhope Ln",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296171228",
"country_code": "US",
"telephone_number": "636-222-2048",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "5421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.