Active NPI
Betty Lynn Lightner, M.S. CCC-SLP
- Speech-Language Pathologist
- Lutherville, MD
National Provider Identifier
1194842013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 04801
- Practice address
- 104 Greenridge Rd
Lutherville, MD 21093-6122 - Phone
- (410) 828-1804
- NPI assigned
- Mar 24, 2007
- 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 | 04801 | MD | Primary |
Addresses
Primary practice location
104 Greenridge Rd
Lutherville, MD 21093-6122
Mailing address
104 Greenridge Road
Lutherville, MD 21093-6122
Phone (410) 828-1804
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 |
|---|---|---|---|
| 04801 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194842013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 GREENRIDGE ROAD",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936122",
"telephone_number": "410-828-1804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 GREENRIDGE RD",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936122",
"telephone_number": "410-828-1804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHTNER",
"first_name": "BETTY",
"middle_name": "LYNN",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "04801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutherville, MD
- Lifebridge Community Physicians Inc
- Lifebridge Community Physicians Inc
- Lifebridge Community Physicians Inc
- Lifebridge Community Physicians, Inc
- Lifebridge Suburban Physician Group II, LLC
- Boon Lim
- Linda C Wang, MD, LLC
- Brett Alexander James Lindsey
- Little Leaves Behavior Therapies
- Gus J. Livaditis, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.