Active NPI
Lynda L. Hart, M.S., CCC-SLP
- Speech-Language Pathologist
- Tucker, GA
National Provider Identifier
1164675286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP006865
- Practice address
- 3756 Lavista Rd
Suite 104
Tucker, GA 30084-5614 - Phone
- (404) 477-9400
- Fax
- (770) 925-9759
- NPI assigned
- Nov 3, 2008
- 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 | SLP006865 | GA | Primary |
Addresses
Primary practice location
3756 Lavista Rd
Suite 104
Tucker, GA 30084-5614
Mailing address
3151 Stillhouse Creek Dr SE Unit 18119
Atlanta, GA 30339-3540
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP006865 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1164675286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3151 STILLHOUSE CREEK DR SE UNIT 18119",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3756 LAVISTA RD",
"address_2": "SUITE 104",
"city": "TUCKER",
"state": "GA",
"postal_code": "300845614",
"telephone_number": "404-477-9400",
"fax_number": "770-925-9759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "LYNDA",
"middle_name": "L.",
"name_prefix": "Miss",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-03",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP006865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.