Linda Marie Chisholm Lane, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

6160 E Otero Dr
Centennial, CO 80112-3028

Phone

(303) 771-3123

NPI assigned

Jun 6, 2011

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

Other names 1

• Linda Marie Chisholm Wiley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1669766812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 E OTERO DR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123028",
            "telephone_number": "303-771-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 E OTERO DR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123028",
            "telephone_number": "303-771-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "LINDA",
        "middle_name": "MARIE CHISHOLM",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "WILEY",
            "middle_name": "MARIE CHISHOLM",
            "credential": "M.S. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jodi Lampert, DDS, PC
• Tyler Andrew Lamy, MA, LPC
• Lisa Marie Landman, COTA/L
• Michelle Landow, PT,MS
• Constance Russell Lane, MAOTR
• Julian Lang
• Macabee Lankford
• Kathryn Mae Lantz, REGISTERED NURSE
• Scott Richard Lapoint, LPC
• Katie Laporta, PA-C

• All providers in Centennial, CO
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.