Individual provider Active NPI

Lisa R Rocco, CCC, SLP

  • Speech-Language Pathologist
  • West Chester, PA
National Provider Identifier
1003118134
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL003346L Issued in PA
Practice address
615 East Boot Rd
Bellingham Retirement Community
West Chester, PA 19380-0000
Phone
(484) 653-4426
Fax
(610) 692-4630
NPI assigned
Nov 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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 SL003346L PA Primary

Addresses

Primary practice location

615 East Boot Rd
Bellingham Retirement Community
West Chester, PA 19380-0000

Mailing address

517 Dublin Dr
Downingtown, PA 19335-4447
Phone (610) 524-0973

Other names 1

  • Mrs. Lisa R Richards Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SL003346LPAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1003118134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 DUBLIN DR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193354447",
            "telephone_number": "610-524-0973",
            "fax_number": "610-524-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 EAST BOOT RD",
            "address_2": "BELLINGHAM RETIREMENT COMMUNITY",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193800000",
            "telephone_number": "484-653-4426",
            "fax_number": "610-692-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCCO",
        "first_name": "LISA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "CCC, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL003346L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "RICHARDS",
            "middle_name": "R",
            "prefix": "MRS.",
            "credential": "CCC, SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.