Individual provider Active NPI

Lyndie Adams, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Celina, OH
National Provider Identifier
1184161069
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP. 12398 Issued in OH
Practice address
715 E Wayne St
Celina, OH 45822-1332
Phone
(419) 586-8300
NPI assigned
Jan 30, 2017
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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 SP. 12398 OH Primary

Addresses

Primary practice location

715 E Wayne St
Celina, OH 45822-1332

Mailing address

5817 Erastus Durbin Rd
Celina, OH 45822-9220
Phone (419) 604-0474

Other practice location 1

100 Don Desch Dr
Coldwater, OH 45828-1583
Phone (419) 678-2311

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 Arts

State licenses

LicenseStateTypeSpecialty
SP. 12398OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercer County Joint Township Community Hospital Past Accepting new patients
Mercer County Joint Township Community Hospital Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1184161069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5817 ERASTUS DURBIN RD",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458229220",
            "telephone_number": "419-604-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E WAYNE ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221332",
            "telephone_number": "419-586-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Don Desch Dr",
            "address_purpose": "LOCATION",
            "city": "Coldwater",
            "state": "OH",
            "postal_code": "458281583",
            "country_code": "US",
            "telephone_number": "419-678-2311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "LYNDIE",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP. 12398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.