Individual provider Active NPI

Lisa Seacrist, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Forest Hills, NY
National Provider Identifier
1003128554
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
011005 Issued in NY
Practice address
7158 Austin St
#3G
Forest Hills, NY 11375-4732
Phone
(718) 268-0847
Fax
(718) 268-0847
NPI assigned
Jul 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 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 011005 NY Primary

Addresses

Primary practice location

7158 Austin St
#3G
Forest Hills, NY 11375-4732

Mailing address

7158 Austin St
#3G
Forest Hills, NY 11375-4732
Phone (718) 268-0847

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
011005NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1003128554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7158 AUSTIN ST",
            "address_2": "#3G",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754732",
            "telephone_number": "718-268-0847",
            "fax_number": "718-268-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7158 AUSTIN ST",
            "address_2": "#3G",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754732",
            "telephone_number": "718-268-0847",
            "fax_number": "718-268-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEACRIST",
        "first_name": "LISA",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.