Individual provider Active NPI

Lori B Dietz, SLP

  • Speech-Language Pathologist
  • Lexington, KY
National Provider Identifier
1376739573
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3299 Issued in KY
Practice address
2265 Harrodsburg Rd
Ste 350
Lexington, KY 40504-3500
Phone
(859) 278-2121
Fax
(859) 276-1649
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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 3299 KY Primary

Addresses

Primary practice location

2265 Harrodsburg Rd
Ste 350
Lexington, KY 40504-3500

Mailing address

2265 Harrodsburg Rd
Ste 350
Lexington, KY 40504-3500
Phone (859) 278-2121

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

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1376739573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 HARRODSBURG RD",
            "address_2": "STE 350",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043500",
            "telephone_number": "859-278-2121",
            "fax_number": "859-276-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 HARRODSBURG RD",
            "address_2": "STE 350",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043500",
            "telephone_number": "859-278-2121",
            "fax_number": "859-276-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "LORI",
        "middle_name": "B",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "3299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.