Individual provider Active NPI

Lucy M Littrell

  • Speech-Language Pathologist
  • Falkville, AL
National Provider Identifier
1285163352
Registry record updated Jun 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4015 Issued in AL
Practice address
4087 Highway 31 SW
Falkville, AL 35622-6319
Phone
(256) 784-6197
Fax
(256) 784-5104
NPI assigned
Jun 12, 2017
Last updated
Jun 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2017

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 4015 AL Primary

Addresses

Primary practice location

4087 Highway 31 SW
Falkville, AL 35622-6319

Mailing address

251 Johnston St SE Ste 300
Decatur, AL 35601-2515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170920002350 AL Practitioner - Qualified Speech Language Pathologist 9830463421 Reassigns benefits to 1 organization
I20191213001021 TX Practitioner - Qualified Speech Language Pathologist 9830463421 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4015ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Rehabilitation, Inc CurrentSince Oct 20, 2016 Accepting new patients
Encore Rehabilitation, Inc. CurrentSince Oct 20, 2016 Accepting new patients
Poarch Band of Creek Indians CurrentSince Sep 15, 2019 Accepting new patients

Locations

5811 Jack Springs Rd
Atmore, AL 36502
Phone (251) 368-9136

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

21862 State Highway 59 S
Robertsdale, AL 36567
Phone (251) 947-3410

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/148f5931-d9cf-4d65-8c66-7021ed161b73/

Organizations & group practices 3

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": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497225600000",
    "number": "1285163352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 JOHNSTON ST SE STE 300",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4087 HIGHWAY 31 SW",
            "city": "FALKVILLE",
            "state": "AL",
            "postal_code": "356226319",
            "telephone_number": "256-784-6197",
            "fax_number": "256-784-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTRELL",
        "first_name": "LUCY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2017-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "4015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falkville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.