Individual provider Active NPI

Andrea Dolores Hyndman, MA TSHH

  • Speech-Language Pathologist
  • Lindenhurst, NY
National Provider Identifier
1801934120
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0083201 Issued in NY
Practice address
14 Pine PL
Lindenhurst, NY 11757-6319
Phone
(631) 225-7755
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0083201 NY Primary

Addresses

Primary practice location

14 Pine PL
Lindenhurst, NY 11757-6319

Mailing address

14 Pine PL
Lindenhurst, NY 11757-6319
Phone (631) 225-7755

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 Arts

State licenses

LicenseStateTypeSpecialty
0083201NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801934120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PINE PL",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117576319",
            "telephone_number": "631-225-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PINE PL",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117576319",
            "telephone_number": "631-225-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYNDMAN",
        "first_name": "ANDREA",
        "middle_name": "DOLORES",
        "name_prefix": "Mrs.",
        "credential": "MA TSHH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0083201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.