Individual provider Active NPI

Rachel A Lyman

  • Speech-Language Pathologist
  • Elgin, AZ
National Provider Identifier
1174181523
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01110673 Issued in NU
Practice address
61 Hillcrest Dr
Elgin, AZ 85611-7802
Phone
(520) 455-4602
NPI assigned
May 31, 2019
Last updated
May 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1259 AZ
Speech-Language Pathologist 235Z00000X 01110673 NU Primary

Addresses

Primary practice location

61 Hillcrest Dr
Elgin, AZ 85611-7802

Mailing address

61 Hillcrest Dr
Elgin, AZ 85611-7802
Phone (520) 455-4602

Other practice location 1

360 S Patagonia St
Benson, AZ 85602-6533
Phone (520) 455-4602

Other practice location 2

23 Elgin Rd
Elgin, AZ 85611-7312
Phone (520) 455-4602

Other practice location 3

3850 E Baseline Rd Ste 109
Mesa, AZ 85206-4403
Phone (520) 455-4602

Other identifiers 2

IdentifierTypeStateIssuer
01110673OtherASHA AMERICAN SPEECH AND HEARING ASSOCIATION
1259OtherAZAZ DEPARTMENT OF HEALTH SERVICES OFFIE OF SPECIAL LICENSING

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

LicenseStateTypeSpecialty
1259AZMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1174181523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 HILLCREST DR",
            "city": "ELGIN",
            "state": "AZ",
            "postal_code": "856117802",
            "telephone_number": "520-455-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 HILLCREST DR",
            "city": "ELGIN",
            "state": "AZ",
            "postal_code": "856117802",
            "telephone_number": "520-455-4602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 S Patagonia St",
            "address_purpose": "LOCATION",
            "city": "Benson",
            "state": "AZ",
            "postal_code": "856026533",
            "country_code": "US",
            "telephone_number": "520-455-4602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Elgin Rd",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "AZ",
            "postal_code": "856117312",
            "country_code": "US",
            "telephone_number": "520-455-4602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3850 E Baseline Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064403",
            "country_code": "US",
            "telephone_number": "520-455-4602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYMAN",
        "first_name": "RACHEL",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "1259",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": "01110673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA AMERICAN SPEECH AND HEARING ASSOCIATION",
            "identifier": "01110673",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DEPARTMENT OF HEALTH SERVICES OFFIE OF SPECIAL LICENSING",
            "identifier": "1259",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.