Individual provider Active NPI

Lynn Albright Bynum, MA, CCC-SLP

  • Speech-Language Pathologist
  • Morganton, NC
National Provider Identifier
1902913049
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3594 Issued in NC
Practice address
121 Fiddlers Run Blvd
Morganton, NC 28655-0095
Phone
(828) 430-3558
Fax
(828) 430-3522
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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 3594 NC Primary

Addresses

Primary practice location

121 Fiddlers Run Blvd
Morganton, NC 28655-0095

Mailing address

121 Fiddlers Run Blvd
Morganton, NC 28655-0095
Phone (828) 430-3558

Other identifiers 5

IdentifierTypeStateIssuer
11608880OtherNCCAQH
187376OtherNCMEDCOST
141U6OtherNCBCBS
7412490MedicaidNC
9418932OtherNCPHCS

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 Arts

State licenses

LicenseStateTypeSpecialty
3594NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Neurotherapy Services Past Accepting new patients
Kids First Therapy, LLC Speech-Language Pathologist PastSince Aug 28, 2021 Accepting new patients
Childrens Neurotherapy Services Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 3

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1902913049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 FIDDLERS RUN BLVD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286550095",
            "telephone_number": "828-430-3558",
            "fax_number": "828-430-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 FIDDLERS RUN BLVD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286550095",
            "telephone_number": "828-430-3558",
            "fax_number": "828-430-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYNUM",
        "first_name": "LYNN",
        "middle_name": "ALBRIGHT",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "3594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11608880",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "187376",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "141U6",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412490",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9418932",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.