Active NPI
Lillian Mary McCumber, M.S.-SLP
- Speech-Language Pathologist
- Bullhead City, AZ
National Provider Identifier
1336272467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- #SLPL4986
- Practice address
- 1004 Hancock Rd
Bullhead City, AZ 86442-5946 - Phone
- (928) 758-6871
- Fax
- (928) 758-6834
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
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 | #SLPL4986 | AZ | Primary |
Addresses
Primary practice location
1004 Hancock Rd
Bullhead City, AZ 86442-5946
Mailing address
414 Oatman Ave
Kingman, AZ 86401-6168
Phone (928) 758-6871
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #SLPL4986 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bullhead City Elementary | Past | Accepting new patients | |
| Bullhead City Elementary School District | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Local Education Agency (LEA)
- Bullhead City, AZ
- NPI 1316156649
-
- Student in an Organized Health Care Education/Training Program
- Bullhead City, AZ
- NPI 1275726689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336272467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 OATMAN AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864016168",
"telephone_number": "928-758-6871",
"fax_number": "928-758-6834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 HANCOCK RD",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864425946",
"telephone_number": "928-758-6871",
"fax_number": "928-758-6834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUMBER",
"first_name": "LILLIAN",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "M.S.-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "#SLPL4986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bullhead City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.