Active NPI
Lindsay Kleinhenz, SP
- Speech-Language Pathologist
- Beavercreek, OH
National Provider Identifier
1811264930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP10462
- Practice address
- 3040 Kemp Rd
Beavercreek, OH 45431-2644 - Phone
- (937) 426-1522
- NPI assigned
- Nov 17, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 10462 | OH | |
| Speech-Language Pathologist | 235Z00000X | SP10462 | OH | Primary |
Addresses
Primary practice location
3040 Kemp Rd
Beavercreek, OH 45431-2644
Mailing address
3040 Kemp Rd
Beavercreek, OH 45431-2644
Phone (937) 426-1522
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0406425 | Medicaid | OH | |
| AB7360731 | Other | OH | MEDICARE PIN |
Other names 1
- Lindsay Baker
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10462 | OH | MD | Speech-Language Pathologist |
| SP10462 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1811264930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3040 KEMP RD",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454312644",
"telephone_number": "937-426-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3040 KEMP RD",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454312644",
"telephone_number": "937-426-1522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEINHENZ",
"first_name": "LINDSAY",
"credential": "SP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-17",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "10462",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP10462",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0406425",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "AB7360731",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSAY",
"last_name": "BAKER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.