NPIMap

Organization Active NPI

Lynn M Center, Inc

Doing business as Northwest Pediatric Therapy

  • Speech-Language Pathologist
  • Fayetteville, AR
National Provider Identifier
1104909860
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP1480 Issued in AR
Legal business name
LYNN M CENTER, INC
Doing business as
Northwest Pediatric Therapy
Practice address
2580 E Joyce Blvd
Suite 12
Fayetteville, AR 72703-4553
Phone
(479) 521-7337
Fax
(479) 521-7338
NPI assigned
Oct 23, 2006
Last updated
May 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lynn Marie Center, SLPNPI 1346220894
Title
Speech Pathologist/Owner
Phone
(479) 466-1580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SP1480 AR Primary

Addresses

Primary practice location

2580 E Joyce Blvd
Suite 12
Fayetteville, AR 72703-4553

Mailing address

2580 E Joyce Blvd
Suite 12
Fayetteville, AR 72703-4553
Phone (479) 521-7337

Other names 1

  • NORTHWEST PEDIATRIC THERAPY Doing business as

National Provider Directory

National Provider Directory

Locations

2580 E Joyce Blvd
Ste 12
Fayetteville, AR 72703
Phone (479) 520-7337

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1104909860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 E JOYCE BLVD",
            "address_2": "SUITE 12",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034553",
            "telephone_number": "479-521-7337",
            "fax_number": "479-521-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 E JOYCE BLVD",
            "address_2": "SUITE 12",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034553",
            "telephone_number": "479-521-7337",
            "fax_number": "479-521-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN M CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "CENTER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "479-466-1580",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP1480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHWEST PEDIATRIC THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.