Active NPI
Lindsay Kutschman
- Speech-Language Pathologist
- Philadelphia, PA
National Provider Identifier
1326567421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL012960
- Practice address
- 151 W Susquehanna Ave Apt 3
Philadelphia, PA 19122-1727 - Phone
- (732) 859-6268
- NPI assigned
- Sep 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | SL012960 | PA | Primary |
Addresses
Primary practice location
151 W Susquehanna Ave Apt 3
Philadelphia, PA 19122-1727
Mailing address
151 W Susquehanna Ave
3Rd FL Rear
Philadelphia, PA 19122
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL012960 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505088000000",
"number": "1326567421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 W SUSQUEHANNA AVE",
"address_2": "3RD FL REAR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 W SUSQUEHANNA AVE APT 3",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191221727",
"telephone_number": "732-859-6268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTSCHMAN",
"first_name": "LINDSAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-11",
"last_updated": "2017-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL012960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.