Active NPI
Randi M Lunsford, CCC/SLP
- Speech-Language Pathologist
- Lufkin, TX
National Provider Identifier
1124453485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 101346
- Practice address
- 360 N John Redditt Dr
Lufkin, TX 75904-2622 - Phone
- (936) 639-3007
- Fax
- (936) 639-3012
- NPI assigned
- Sep 5, 2013
- 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 | 101346 | TX | Primary |
Addresses
Primary practice location
360 N John Redditt Dr
Lufkin, TX 75904-2622
Mailing address
PO Box 952
Lufkin, TX 75902-0952
Phone (936) 639-3007
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 |
|---|---|---|---|
| 101346 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Speech & Language Services, PLLC | Speech-Language Pathologist | 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.
-
- Speech-Language Pathologist
- Lufkin, TX
- NPI 1093993941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378339200000",
"number": "1124453485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 952",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759020952",
"telephone_number": "936-639-3007",
"fax_number": "936-639-3012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 N JOHN REDDITT DR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759042622",
"telephone_number": "936-639-3007",
"fax_number": "936-639-3012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNSFORD",
"first_name": "RANDI",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-05",
"last_updated": "2013-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "101346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.