Individual provider Active NPI

Maggie Lyn Lumsden, M.S. CCC - SLP

  • Speech-Language Pathologist
  • Gardendale, AL
National Provider Identifier
1790482537
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14415154 Issued in AL
Practice address
474 Tarrant Rd
Gardendale, AL 35071-2947
Phone
(205) 608-2999
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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 14415154 AL Primary

Addresses

Primary practice location

474 Tarrant Rd
Gardendale, AL 35071-2947

Mailing address

720 Darlene Dr
Birmingham, AL 35217-1013
Phone (256) 399-6018

Other practice location 1

1115 11th St S
Birmingham, AL 35205-4681
Phone (205) 231-7440

Other identifiers 2

IdentifierTypeStateIssuer
212076OtherALABESPA
14415154OtherALASHA

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
14415154ALMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1790482537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 DARLENE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352171013",
            "telephone_number": "256-399-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 TARRANT RD",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712947",
            "telephone_number": "205-608-2999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 11th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352054681",
            "country_code": "US",
            "telephone_number": "205-231-7440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUMSDEN",
        "first_name": "MAGGIE",
        "middle_name": "LYN",
        "credential": "M.S. CCC - SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "14415154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABESPA",
            "identifier": "212076",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "14415154",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.