Active NPI
Lyndsy Davis, CCC-SLP
- Speech-Language Pathologist
- Utica, NY
National Provider Identifier
1023626009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 029604
- Practice address
- 1656 Champlin Ave
Utica, NY 13502-4830 - Phone
- (315) 624-6557
- Fax
- (315) 624-4723
- NPI assigned
- Jul 16, 2020
- 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 | 029604 | NY | Primary |
Addresses
Primary practice location
1656 Champlin Ave
Utica, NY 13502-4830
Mailing address
2209 Genesee Street
Business Office Room 315
Utica, NY 13501
Phone (315) 801-3282
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
| License | State | Type | Specialty |
|---|---|---|---|
| 029604 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1023626009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 GENESEE STREET",
"address_2": "BUSINESS OFFICE ROOM 315",
"city": "UTICA",
"state": "NY",
"postal_code": "13501",
"telephone_number": "315-801-3282",
"fax_number": "315-801-8391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1656 CHAMPLIN AVE",
"city": "UTICA",
"state": "NY",
"postal_code": "135024830",
"telephone_number": "315-624-6557",
"fax_number": "315-624-4723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LYNDSY",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-16",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "029604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.