Lynn Smallwood, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.11268 Issued in OH

Practice address

817 Helen St
Wapakoneta, OH 45895-1322

Phone

(419) 230-1646

NPI assigned

Sep 24, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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

• Speak Life Speech Therapy

  • Speech-Language Pathologist
  • Wapakoneta, OH
  • NPI 1457978637
  NPD Authorized official

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593734400000",
    "number": "1659741288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 HELEN ST",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 HELEN ST",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951322",
            "telephone_number": "419-230-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.11268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "theraplatform",
            "affiliation": "N",
            "address_1": "817 Helen St",
            "city": "Wapakoneta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458951322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angel Marie Selhorst
• Tracy Lynn Sharp, DO
• Kimberly Ann Singer, LSW
• Lisa Slonecker
• Lauren R Sluss, LISW
• Andrea Smith
• Kindra Smith, OPTICIAN
• Logan Thomas Smith, CNP
• Melisa Smith
• Maegan Sommers, M.S., CCC-SLP

• Speech-Language Pathologist in Wapakoneta, OH
• Providers in Wapakoneta, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.