Active NPI
Lynn U. Hedrick, MA,CCC,SLP,CDRS
- Contractor
- Phoenix, AZ
National Provider Identifier
1184914434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 1145
- Practice address
- 4120 N 20TH St
Ste. G
Phoenix, AZ 85016-6022 - Phone
- (602) 881-9500
- Fax
- (602) 957-2943
- NPI assigned
- Apr 7, 2011
- Last updated
- May 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 1145 | AZ | Primary |
| Speech-Language Pathologist | 235Z00000X | SLP5795 | AZ |
Addresses
Primary practice location
4120 N 20TH St
Ste. G
Phoenix, AZ 85016-6022
Mailing address
4120 N 20TH St
Ste. G
Phoenix, AZ 85016-6022
Phone (602) 881-9500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SLP5795 | Other | AZ | AZ DEPT OF HEALTH SERVICES |
| 01113520 | Other | MD | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1145 | AZ | MD | Physical Therapist |
| SLP5795 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drivable Solutions, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Developmentally Disabled Services Day Training Agency
- Phoenix, AZ
- NPI 1659676203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304294400000",
"number": "1184914434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4120 N 20TH ST",
"address_2": "STE. G",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850166022",
"telephone_number": "602-881-9500",
"fax_number": "602-957-2943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4120 N 20TH ST",
"address_2": "STE. G",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850166022",
"telephone_number": "602-881-9500",
"fax_number": "602-957-2943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDRICK",
"first_name": "LYNN",
"middle_name": "U.",
"name_prefix": "Ms.",
"credential": "MA,CCC,SLP,CDRS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-07",
"last_updated": "2011-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "AZ",
"license": "1145",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP5795",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ DEPT OF HEALTH SERVICES",
"identifier": "SLP5795",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
"identifier": "01113520",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.