Lisa Guerra Pisa, MED, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

16959 Issued in FL

Practice address

1789 Driftwood Point Rd
Santa Rosa Beach, FL 32459-3032

Phone

(504) 421-1446

NPI assigned

Dec 7, 2009

Last updated

Oct 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Lisa McGee Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1023346848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 DRIFTWOOD POINT RD",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324593032",
            "telephone_number": "504-421-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 DRIFTWOOD POINT RD",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324593032",
            "telephone_number": "504-421-1446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Everglades St",
            "address_purpose": "LOCATION",
            "city": "Kenner",
            "state": "LA",
            "postal_code": "700651042",
            "country_code": "US",
            "telephone_number": "504-421-1446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PISA",
        "first_name": "LISA",
        "middle_name": "GUERRA",
        "credential": "MED, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-07",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "2046",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "16959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MCGEE",
            "credential": "MED., CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Speech-Language Pathologist in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.