Individual provider Active NPI

Lynn Ann Roberts, SLP, CCC

  • Speech-Language Pathologist
  • Palm Beach Gardens, FL
National Provider Identifier
1437453347
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1081 Issued in NE
Practice address
1419 Barlow CT
Palm Beach Gardens, FL 33410-1501
Phone
(559) 889-9561
NPI assigned
Jan 6, 2011
Last updated
Apr 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1081 NE Primary
Speech-Language Pathologist 235Z00000X 00260 IA
Speech-Language Pathologist 235Z00000X SA10792 FL

Addresses

Primary practice location

1419 Barlow CT
Palm Beach Gardens, FL 33410-1501

Mailing address

1419 Barlow CT
Palm Beach Gardens, FL 33410-1501
Phone (559) 889-9561

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

LicenseStateTypeSpecialty
1081NEMDOptometrist
00260IAMDOccupational Therapy Assistant
SA10792FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1437453347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 BARLOW CT",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334101501",
            "telephone_number": "559-889-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 BARLOW CT",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334101501",
            "telephone_number": "559-889-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LYNN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "SLP, CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-06",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "1081",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "00260",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA10792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.