Individual provider Active NPI

Lynne Allison Menaker, MS CCC SLP

  • Speech-Language Pathologist
  • West Palm Beach, FL
National Provider Identifier
1659491017
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA4206 Issued in FL
Practice address
705 Cable Beach LN
West Palm Beach, FL 33410-3411
Phone
(561) 309-7383
Fax
(561) 799-9918
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X
Speech-Language Pathologist 235Z00000X SA4206 FL Primary

Addresses

Primary practice location

705 Cable Beach LN
West Palm Beach, FL 33410-3411

Mailing address

705 Cable Beach LN
West Palm Beach, FL 33410-3411
Phone (561) 309-7383

Other identifiers 1

IdentifierTypeStateIssuer
8840121MedicaidFL

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
SA4206FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1659491017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 CABLE BEACH LN",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334103411",
            "telephone_number": "561-309-7383",
            "fax_number": "561-799-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 CABLE BEACH LN",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334103411",
            "telephone_number": "561-309-7383",
            "fax_number": "561-799-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENAKER",
        "first_name": "LYNNE",
        "middle_name": "ALLISON",
        "name_prefix": "Mrs.",
        "credential": "MS  CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA4206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8840121",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.