Active NPI
Lynn M Dudek, MS,CCC-SLP, BCBA,MBA
- Speech-Language Pathologist
- Columbus, OH
National Provider Identifier
1861640633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 4345
- Practice address
- 2540 Billingsley Rd
Columbus, OH 43235-1990 - Phone
- (614) 470-2018
- Fax
- (614) 489-6200
- NPI assigned
- Sep 4, 2008
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Speech-Language Pathologist | 235Z00000X | SP 4345 | OH | Primary |
Addresses
Primary practice location
2540 Billingsley Rd
Columbus, OH 43235-1990
Mailing address
4415 Swenson St
Hilliard, OH 43026-3805
Phone (614) 529-0672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0261124 | Medicaid | OH |
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 Business Administration, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP 4345 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haugland, Lamarche, and Ramage LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Columbus, OH
- NPI 1346678190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1861640633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415 SWENSON ST",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430263805",
"telephone_number": "614-529-0672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 BILLINGSLEY RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432351990",
"telephone_number": "614-470-2018",
"fax_number": "614-489-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDEK",
"first_name": "LYNN",
"middle_name": "M",
"credential": "MS,CCC-SLP, BCBA,MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-04",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP 4345",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0261124",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.