Active NPI
Cynthia Lynn Devine, SLP
- Speech-Language Pathologist
- Montgomery, AL
National Provider Identifier
1407902133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2093
- Practice address
- 2125 E South Blvd
Montgomery, AL 36116-2409 - Phone
- (334) 288-0240
- Fax
- (334) 288-7171
- NPI assigned
- Jan 26, 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 | 2093 | AL | Primary |
Addresses
Primary practice location
2125 E South Blvd
Montgomery, AL 36116-2409
Mailing address
12 Meadow Lane CT
Elmore, AL 36025-2112
Phone (334) 285-5794
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51511335DEV | Other | AL | BLUE CROSS BLUE SHIELD |
| 2093 | Other | AL | ABESPA |
| 12052114 | Other | AL | ASHA |
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 |
|---|---|---|---|
| 2093 | AL | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easter Seals Central Alabama | 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.
-
- Speech-Language Pathologist
- Montgomery, AL
- NPI 1720129455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407902133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 MEADOW LANE CT",
"city": "ELMORE",
"state": "AL",
"postal_code": "360252112",
"telephone_number": "334-285-5794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 E SOUTH BLVD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361162409",
"telephone_number": "334-288-0240",
"fax_number": "334-288-7171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVINE",
"first_name": "CYNTHIA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "2093",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51511335DEV",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABESPA",
"identifier": "2093",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "12052114",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
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.