Active NPI
Lynda Denise Payne-Stikes, MS, CCC-SLP
- Speech-Language Pathologist
- La Grange, KY
National Provider Identifier
1639408230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1325
- Practice address
- 2111 Spencer CT
La Grange, KY 40031-6742 - Phone
- (502) 262-2887
- NPI assigned
- Dec 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1325 | KY | Primary |
Addresses
Primary practice location
2111 Spencer CT
La Grange, KY 40031-6742
Mailing address
3425 Fernheather Dr
Louisville, KY 40216-4733
Phone (502) 593-1684
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1325 | KY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510272000000",
"number": "1639408230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 FERNHEATHER DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402164733",
"telephone_number": "502-593-1684",
"fax_number": "877-212-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 SPENCER CT",
"city": "LA GRANGE",
"state": "KY",
"postal_code": "400316742",
"telephone_number": "502-262-2887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE-STIKES",
"first_name": "LYNDA",
"middle_name": "DENISE",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-10",
"last_updated": "2017-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "1325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Grange, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.