Active NPI
Lynda McCall White, CCC-SP
- Speech-Language Pathologist
- Louisville, KY
National Provider Identifier
1811545817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 244503
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 244503 | Other | KY | KY SLP LICENCE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 244503 | KY | MD | Speech-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.