Lynda Kaye Sprague
Individual provider Active NPI Speech-Language Pathologist · Bucklin, MO
NPI 1235634890 · NPPES record last updated Mar 27, 2018
Key facts
- NPI
- 1235634890
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 26832 Highway 129
Bucklin, MO 64631-9230 - Phone
- (660) 695-3225
- NPI assigned
- Mar 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
26832 Highway 129
Bucklin, MO 64631-9230
Mailing address
26832 Highway 129
Bucklin, MO 64631-9230
NPI Registry JSON
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1235634890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26832 HIGHWAY 129",
"city": "BUCKLIN",
"state": "MO",
"postal_code": "646319230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26832 HIGHWAY 129",
"city": "BUCKLIN",
"state": "MO",
"postal_code": "646319230",
"telephone_number": "660-695-3225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRAGUE",
"first_name": "LYNDA",
"middle_name": "KAYE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-27",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bucklin, MO
All providers in Bucklin, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.