Active NPI
Nancy Whitford Lyford, MED CCCSP
- Speech-Language Pathologist
- Atlanta, GA
National Provider Identifier
1083830558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP000830
- Practice address
- 3932 Kendall Cove
Atlanta, GA 30340 - Phone
- (678) 793-1874
- Fax
- (678) 209-0602
- NPI assigned
- Apr 17, 2007
- 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 | SLP000830 | GA | Primary |
Addresses
Primary practice location
3932 Kendall Cove
Atlanta, GA 30340
Mailing address
3932 Kendall Cove
Atlanta, GA 30340
Phone (678) 793-1874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10057588 | Other | GA | AMERIGROUP |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP000830 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083830558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3932 KENDALL COVE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30340",
"telephone_number": "678-793-1874",
"fax_number": "678-209-0602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3932 KENDALL COVE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30340",
"telephone_number": "678-793-1874",
"fax_number": "678-209-0602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYFORD",
"first_name": "NANCY",
"middle_name": "WHITFORD",
"name_prefix": "Mrs.",
"credential": "MED CCCSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP000830",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10057588",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.