Individual provider Active NPI

Lynsey Luke Pippen, ED.D.

  • Speech-Language Pathologist
  • Lakeland, FL
National Provider Identifier
1467075945
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
15516 Issued in FL
Practice address
505 Hawthorne TRL
Lakeland, FL 33803-3030
Phone
(985) 381-2206
NPI assigned
May 19, 2020
Last updated
May 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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 5654 LA
Speech-Language Pathologist 235Z00000X 29343 CA
Speech-Language Pathologist 235Z00000X 15516 FL Primary

Addresses

Primary practice location

505 Hawthorne TRL
Lakeland, FL 33803-3030

Mailing address

505 Hawthorne TRL
Lakeland, FL 33803-3030
Phone (985) 381-2206

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
5654LAMDProfessional Counselor
29343CAMDClinical Social Worker
15516FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1467075945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 HAWTHORNE TRL",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033030",
            "telephone_number": "985-381-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 HAWTHORNE TRL",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033030",
            "telephone_number": "985-381-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPPEN",
        "first_name": "LYNSEY",
        "middle_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "5654",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "29343",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "15516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.