Annette Lynn Tynes, S-L THERAPIST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

DOE 293 Issued in ME

Practice address

86 Intervale Rd
New Gloucester, ME 04260

Phone

(207) 926-4322

NPI assigned

Sep 14, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maine School Administrative District # 15

  • Developmentally Disabled Services Day Training Agency
  • Gray, ME
  • NPI 1194933176
  NPD (past)
• Maine School Administrative District # 15

  • Local Education Agency (LEA)
  • Gray, ME
  • NPI 1699980714
  NPD (past)

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1326356262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SHAKER ROAD",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "04039",
            "telephone_number": "207-657-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 INTERVALE RD",
            "city": "NEW GLOUCESTER",
            "state": "ME",
            "postal_code": "04260",
            "telephone_number": "207-926-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYNES",
        "first_name": "ANNETTE",
        "middle_name": "LYNN",
        "credential": "S-L THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "DOE 293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katheryne Morgan Stinson, IPDH
• Louis C. Talarico II, D.P.M. & M.S. ED.
• Town of New Gloucester
• Todd Alan Tritch, M.D.
• Trusted Souls Adult Daycare Center, LLC
• Leda Kathryn Werrell, FNP
• Tina M White
• Whittier House Inc
• Ronald Harold Whittier
• Alisha Wilson, LMSW-CC

• Speech-Language Pathologist in New Gloucester, ME
• Providers in New Gloucester, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.