Individual provider Active NPI

Michelle Rhonda Waitz-Lynch

  • Speech-Language Pathologist
  • Allentown, PA
National Provider Identifier
1538798772
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL006454L Issued in PA
Practice address
1243 S Cedar Crest Blvd
Allentown, PA 18103-6268
Phone
(610) 402-9770
Fax
(610) 402-9775
NPI assigned
Apr 8, 2020
Last updated
Apr 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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 SL006454L PA Primary

Addresses

Primary practice location

1243 S Cedar Crest Blvd
Allentown, PA 18103-6268

Mailing address

1243 S Cedar Crest Blvd
Allentown, PA 18103-6268
Phone (610) 402-9770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200416001206 PA Practitioner - Qualified Speech Language Pathologist 3274963160 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SL006454LPAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Hospital CurrentSince Apr 6, 2020 Accepting new patients
Lehigh Valley Hospital CurrentSince Apr 6, 2020 Accepting new patients

Locations

1243 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 402-9230

707 Hamilton St
Fl 4
Allentown, PA 18101
Phone (484) 862-3001

700 Hawk Ridge Dr
Hamburg, PA 19526
Phone (610) 562-0170

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1538798772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 S CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036268",
            "telephone_number": "610-402-9770",
            "fax_number": "610-402-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 S CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036268",
            "telephone_number": "610-402-9770",
            "fax_number": "610-402-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITZ-LYNCH",
        "first_name": "MICHELLE",
        "middle_name": "RHONDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL006454L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.