Individual provider Active NPI

Lydia Price Beringer, M.S CCC/SLP

  • Speech-Language Pathologist
  • Maxwell Afb, AL
National Provider Identifier
1306316963
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2388 Issued in AL
Practice address
300 S. Twining Street 42 ND Medical Group
Maxwell Afb, AL 36112
Phone
(334) 953-4415
Fax
(334) 953-6646
NPI assigned
Nov 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 2388 AL Primary

Addresses

Primary practice location

300 S. Twining Street 42 ND Medical Group
Maxwell Afb, AL 36112

Mailing address

3149 Hathaway Place
Montgomery, AL 36111
Phone (334) 538-6548

Other names 1

  • Miss Lydia Pierce Price Former name

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

LicenseStateTypeSpecialty
2388ALMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1306316963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3149 HATHAWAY PLACE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36111",
            "telephone_number": "334-538-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S. TWINING STREET 42 ND MEDICAL GROUP",
            "city": "MAXWELL AFB",
            "state": "AL",
            "postal_code": "36112",
            "telephone_number": "334-953-4415",
            "fax_number": "334-953-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERINGER",
        "first_name": "LYDIA",
        "middle_name": "PRICE",
        "name_prefix": "Mrs.",
        "credential": "M.S CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "PRICE",
            "middle_name": "PIERCE",
            "prefix": "MISS",
            "credential": "M.S. CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maxwell Afb, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.