Individual provider Active NPI

Lonnie Stephan Meade Jr., M.A., CCC SLP

  • Speech-Language Pathologist
  • Yuma, AZ
National Provider Identifier
1104955657
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP4179 Issued in AZ
Practice address
450 W 6TH St
Yuma, AZ 85364-2973
Phone
(928) 502-4300
Fax
(928) 502-4442
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP4179 AZ Primary

Addresses

Primary practice location

450 W 6TH St
Yuma, AZ 85364-2973

Mailing address

11304 E 26TH LN
Yuma, AZ 85367-8940
Phone (928) 344-6856

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 Arts

State licenses

LicenseStateTypeSpecialty
SLP4179AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Elementary School District One Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104955657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11304 E 26TH LN",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853678940",
            "telephone_number": "928-344-6856",
            "fax_number": "928-344-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W 6TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853642973",
            "telephone_number": "928-502-4300",
            "fax_number": "928-502-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADE",
        "first_name": "LONNIE",
        "middle_name": "STEPHAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.A., CCC SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP4179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

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.

Verify at the official NPI Registry.