Individual provider Active NPI

Lindsey Ryan Kennedy Mast, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Anchorage, AK
National Provider Identifier
1336494467
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
6927 Old Seward Hwy Ste 100
Anchorage, AK 99518-2283
Phone
(907) 345-0050
Fax
(907) 344-5103
NPI assigned
Jul 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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 Primary

Addresses

Primary practice location

6927 Old Seward Hwy Ste 100
Anchorage, AK 99518-2283

Mailing address

6927 Old Seward Hwy Ste 100
Anchorage, AK 99518-2283
Phone (907) 345-0050

Other identifiers 1

IdentifierTypeStateIssuer
1579929MedicaidAK

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

Practice roles

OrganizationSpecialtyStatusNew patients
All for Kids Pediatric Therapy Clinic Speech-Language Pathologist CurrentSince Jul 24, 2022 Accepting new patients
A Better Tomorrow Therapy & Wellness Center, LLC Past Accepting new patients

Locations

6927 Old Seward Hwy
Ste 100
Anchorage, AK 99518
Phone (907) 345-0050

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.

NPI Registry JSON

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

{
    "created_epoch": "1342310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1336494467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6927 OLD SEWARD HWY STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995182283",
            "telephone_number": "907-345-0050",
            "fax_number": "907-344-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6927 OLD SEWARD HWY STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995182283",
            "telephone_number": "907-345-0050",
            "fax_number": "907-344-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAST",
        "first_name": "LINDSEY",
        "middle_name": "RYAN KENNEDY",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-15",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1579929",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.