Individual provider Active NPI

Lynn Teresa Stephens, CCC/SLP

  • Speech-Language Pathologist
  • Castleton, NY
National Provider Identifier
1669626412
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
012568-1 Issued in NY
Practice address
1718 S Old Post Rd
Castleton, NY 12033-1722
Phone
(518) 852-0712
NPI assigned
Nov 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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 012568-1 NY Primary

Addresses

Primary practice location

1718 S Old Post Rd
Castleton, NY 12033-1722

Mailing address

1718 S Old Post Rd
Castleton, NY 12033-1722
Phone (518) 852-0712

Other names 1

  • Mrs. Lynn Teresa Lavoie-Stephens Professional name

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
012568-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1669626412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 S OLD POST RD",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120331722",
            "telephone_number": "518-852-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 S OLD POST RD",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120331722",
            "telephone_number": "518-852-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "LYNN",
        "middle_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012568-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "LAVOIE-STEPHENS",
            "middle_name": "TERESA",
            "prefix": "MRS.",
            "credential": "CCC/SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Castleton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.