Active NPI
Lynn M. Cummings, M.S., CCC-SLP
- Speech-Language Pathologist
- Mechanicsburg, PA
National Provider Identifier
1720204894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL005803L
- Practice address
- 318 Cloudless Sky Dr
Mechanicsburg, PA 17050-3804 - Phone
- (717) 512-2290
- Fax
- (717) 795-1912
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | SL005803L | PA | Primary |
Addresses
Primary practice location
318 Cloudless Sky Dr
Mechanicsburg, PA 17050-3804
Mailing address
318 Cloudless Sky Dr
Mechanicsburg, PA 17050-3804
Phone (717) 512-2290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019166590003 | Medicaid | PA |
Other names 1
- Ms. Lynn M. Nesgoda
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL005803L | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449619200000",
"number": "1720204894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 CLOUDLESS SKY DR",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170503804",
"telephone_number": "717-512-2290",
"fax_number": "717-795-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 CLOUDLESS SKY DR",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170503804",
"telephone_number": "717-512-2290",
"fax_number": "717-795-1912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINGS",
"first_name": "LYNN",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2015-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL005803L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019166590003",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LYNN",
"last_name": "NESGODA",
"middle_name": "M.",
"prefix": "MS.",
"credential": "M.S., CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.