Individual provider Active NPI

Lynda McCall White, CCC-SP

  • Speech-Language Pathologist
  • Louisville, KY
National Provider Identifier
1811545817
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
244503 Issued in KY
Practice address
13010 Eastgate Park Way Ste 101
Louisville, KY 40223-3984
Phone
(502) 244-1210
NPI assigned
Sep 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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 244503 KY Primary

Addresses

Primary practice location

13010 Eastgate Park Way Ste 101
Louisville, KY 40223-3984

Mailing address

2012 Cherry Ridge CT
La Grange, KY 40031-7991
Phone (502) 744-5361

Other identifiers 1

IdentifierTypeStateIssuer
244503OtherKYKY SLP LICENCE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@childrenstherapy.org Direct

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

LicenseStateTypeSpecialty
244503KYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1811545817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 CHERRY RIDGE CT",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400317991",
            "telephone_number": "502-744-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 EASTGATE PARK WAY STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233984",
            "telephone_number": "502-244-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "LYNDA",
        "middle_name": "MCCALL",
        "credential": "CCC-SP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "244503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY SLP LICENCE",
            "identifier": "244503",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@childrenstherapy.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13010 Eastgate Park Way Ste 101",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402233984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.