Individual provider Active NPI

Lynnette Kay Milner, MS, CCC-SLP-L

  • Speech-Language Pathologist
  • Edwardsville, IL
National Provider Identifier
1427564251
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146002614 Issued in IL
Practice address
1913 Butler Blvd
Edwardsville, IL 62025-3618
Phone
(618) 910-7466
NPI assigned
Dec 15, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 146002614 IL Primary

Addresses

Primary practice location

1913 Butler Blvd
Edwardsville, IL 62025-3618

Mailing address

1913 Butler Blvd
Edwardsville, IL 62025
Phone (618) 910-7466

Other practice location 1

1913 Butler Blvd
Edwardsville, IL 62025-3618
Phone (618) 910-7466

Other names 1

  • Mrs. Lynnette Kay Milner Professional name

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

State licenses

LicenseStateTypeSpecialty
146002614ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1427564251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 BUTLER BLVD",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "62025",
            "telephone_number": "618-910-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 BUTLER BLVD",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253618",
            "telephone_number": "618-910-7466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1913 Butler Blvd",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "IL",
            "postal_code": "620253618",
            "country_code": "US",
            "telephone_number": "618-910-7466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILNER",
        "first_name": "LYNNETTE",
        "middle_name": "KAY",
        "credential": "MS, CCC-SLP-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146002614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNNETTE",
            "last_name": "MILNER",
            "middle_name": "KAY",
            "prefix": "MRS.",
            "credential": "MS,CCC/SLP-L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Edwardsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.