Individual provider Active NPI

Lynsey Heinold-Edge, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Jensen Beach, FL
National Provider Identifier
1558499087
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 8867 Issued in FL
Practice address
3496 NW Federal Hwy Ste G
Jensen Beach, FL 34957-4441
Phone
(772) 223-5945
NPI assigned
Feb 28, 2007
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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 SA 8867 FL Primary

Addresses

Primary practice location

3496 NW Federal Hwy Ste G
Jensen Beach, FL 34957-4441

Mailing address

1501 SE Cutorro Ave
Port Saint Lucie, FL 34952-5446
Phone (772) 678-9519

Other identifiers 1

IdentifierTypeStateIssuer
890664500MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250930002577 FL Practitioner - Qualified Speech Language Pathologist 8022514900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6801 Breacksville Rd
Independence, OH 44131-5058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SA 8867FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Memorial Medical Center Inc CurrentSince Jul 24, 2025 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Jul 24, 2025 Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation PastSince Jul 24, 2025 Accepting new patients
Martin Memorial Physician Corporation Inc Past Accepting new patients

Locations

3496 NW Federal Hwy
Ste G
Jensen Beach, FL 34957
Phone (772) 223-5677

1095 NW Saint Lucie West Blvd
Ste 210
Port Saint Lucie, FL 34986
Phone (772) 785-5536

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Organizations & group practices 4

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1558499087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SE CUTORRO AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525446",
            "telephone_number": "772-678-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3496 NW FEDERAL HWY STE G",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574441",
            "telephone_number": "772-223-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINOLD-EDGE",
        "first_name": "LYNSEY",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 8867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890664500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.