Active NPI
Rachel A Lyman
- Speech-Language Pathologist
- Elgin, AZ
National Provider Identifier
1174181523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01110673
- Practice address
- 61 Hillcrest Dr
Elgin, AZ 85611-7802 - Phone
- (520) 455-4602
- NPI assigned
- May 31, 2019
- Last updated
- May 31, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01110673 | Other | ASHA AMERICAN SPEECH AND HEARING ASSOCIATION | |
| 1259 | Other | AZ | AZ 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1259 | AZ | MD | Speech-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.