Individual provider Active NPI

Nadyne Dias, MS, CCC-SLP/L

  • Speech-Language Pathologist
  • Allentown, PA
National Provider Identifier
1154689222
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL010813 Issued in PA
Practice address
1243 S Cedar Crest Blvd Ste 302
Allentown, PA 18103-6246
Phone
(610) 402-9770
NPI assigned
Apr 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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 SL010813 PA Primary

Addresses

Primary practice location

1243 S Cedar Crest Blvd Ste 302
Allentown, PA 18103-6246

Mailing address

1243 S Cedar Crest Blvd Ste 302
Allentown, PA 18103-6246
Phone (610) 402-9776

Other names 1

  • Nadyne Kaminski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200512003073 PA Practitioner - Qualified Speech Language Pathologist 7810328556 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Hospital CurrentSince Apr 1, 2020 Accepting new patients
Lehigh Valley Hospital CurrentSince Apr 1, 2020 Accepting new patients
Therapyties PastSince Apr 27, 2025 Accepting new patients

Locations

707 Hamilton St
Fl 4
Allentown, PA 18101
Phone (484) 862-3001

1243 S Cedar Crest Blvd
Ste 302
Allentown, PA 18103
Phone (610) 402-9770

2901 Emrick Blvd
Ste 103
Bethlehem, PA 18020
Phone (610) 625-2169

700 Hawk Ridge Dr
Hamburg, PA 19526
Phone (610) 562-0170

Organizations & group practices 3

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": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1154689222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 S CEDAR CREST BLVD STE 302",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036246",
            "telephone_number": "610-402-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 S CEDAR CREST BLVD STE 302",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036246",
            "telephone_number": "610-402-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAS",
        "first_name": "NADYNE",
        "credential": "MS, CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADYNE",
            "last_name": "KAMINSKI",
            "credential": "MS, CCC-SLP/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.