Individual provider Active NPI

Lindsay Coker Dickinson, MA,CCC-SLP

  • Speech-Language Pathologist
  • Fredericksburg, VA
National Provider Identifier
1346471703
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202005097 Issued in VA
Practice address
725 Jackson St
Suite 218
Fredericksburg, VA 22401-5761
Phone
(540) 693-0527
Fax
(540) 319-5454
NPI assigned
Aug 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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 2202005097 VA Primary

Addresses

Primary practice location

725 Jackson St
Suite 218
Fredericksburg, VA 22401-5761

Mailing address

725 Jackson St
Suite 218
Fredericksburg, VA 22401-5761
Phone (540) 693-0527

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 Arts

State licenses

LicenseStateTypeSpecialty
2202005097VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations Speech and Language Services LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1346471703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 JACKSON ST",
            "address_2": "SUITE 218",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015761",
            "telephone_number": "540-693-0527",
            "fax_number": "540-319-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 JACKSON ST",
            "address_2": "SUITE 218",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015761",
            "telephone_number": "540-693-0527",
            "fax_number": "540-319-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "LINDSAY",
        "middle_name": "COKER",
        "credential": "MA,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.