Individual provider Active NPI

Linsey Rae Williams

  • Speech-Language Pathologist
  • Fairbanks, AK
National Provider Identifier
1871239103
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
228178 Issued in AK
Practice address
102 10TH Ave
Fairbanks, AK 99701-5003
Phone
(907) 759-7697
Fax
(907) 600-5065
NPI assigned
May 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X A0737 OR
Speech-Language Assistant 2355S0801X
Speech-Language Pathologist 235Z00000X 228178 AK Primary

Addresses

Primary practice location

102 10TH Ave
Fairbanks, AK 99701-5003

Mailing address

2616 Lancelot Dr W
North Pole, AK 99705-6556
Phone (907) 385-7923

Other names 1

  • Linsey Little Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240826002788 AK Practitioner - Qualified Speech Language Pathologist 5890234579 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A0737ORMDSpeech-Language Assistant
228178AKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nisma Therapy Services LLC Speech-Language Pathologist CurrentSince Aug 26, 2024 Accepting new patients

Locations

102 10th Ave
Fairbanks, AK 99701
Phone (907) 415-9331

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.

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1871239103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 LANCELOT DR W",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997056556",
            "telephone_number": "907-385-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 10TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015003",
            "telephone_number": "907-759-7697",
            "fax_number": "907-600-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LINSEY",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "OR",
            "license": "A0737",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "228178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINSEY",
            "last_name": "LITTLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.