Individual provider Active NPI

Lynn M. Cummings, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Mechanicsburg, PA
National Provider Identifier
1720204894
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL005803L Issued in PA
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

Updated by the provider on Dec 9, 2015

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 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

IdentifierTypeStateIssuer
0019166590003MedicaidPA

Other names 1

  • Ms. Lynn M. Nesgoda Former 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SL005803LPAMDSpeech-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"
        }
    ]
}

Other providers in Mechanicsburg, PA

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.

Verify at the official NPI Registry.