Active NPI
Lynda Krueger
- Speech-Language Pathologist
- Godfrey, IL
National Provider Identifier
1407081623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146002861
- Practice address
- 812 Airport Rd
Godfrey, IL 62035-2920 - Phone
- (618) 466-2134
- Fax
- (618) 466-0392
- NPI assigned
- May 18, 2009
- Last updated
- May 18, 2009
- 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 | 146002861 | IL | Primary |
Addresses
Primary practice location
812 Airport Rd
Godfrey, IL 62035-2920
Mailing address
812 Airport Rd
Godfrey, IL 62035-2920
Phone (618) 466-2134
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 |
|---|---|---|---|
| 146002861 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242604800000",
"number": "1407081623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 AIRPORT RD",
"city": "GODFREY",
"state": "IL",
"postal_code": "620352920",
"telephone_number": "618-466-2134",
"fax_number": "618-466-0392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 AIRPORT RD",
"city": "GODFREY",
"state": "IL",
"postal_code": "620352920",
"telephone_number": "618-466-2134",
"fax_number": "618-466-0392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "LYNDA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-18",
"last_updated": "2009-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146002861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Godfrey, IL
- Jeanie M. Thompson, MD PC
- Judith Bohringer (Healthcare Resource Services)
- Ordie H. King Jr., D.D.S., PH.D.
- Julie Ann Kline, M.A. CCC-SLP
- Donna L Koenig, FNP
- Larry W. Crocker DMD, PC (Dentistry with TLC)
- Amy Christine Laughlin, RD
- Gerry Eugene Leclaire, R.PH.
- Melissa Kay Lee, FNP-C
- Andrea Lynn Leonard, CCC-SLP, MEA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.