Individual provider Active NPI

Lisa Latirofian, M.S., CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Franklin Square, NY
National Provider Identifier
1073874129
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
021948 Issued in NY
Practice address
41 Catherine Ave
Franklin Square, NY 11010-1511
Phone
(888) 888-8888
Fax
(888) 888-8888
NPI assigned
Jun 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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 021948 NY Primary

Addresses

Primary practice location

41 Catherine Ave
Franklin Square, NY 11010-1511

Mailing address

41 Catherine Ave
Franklin Square, NY 11010-1511

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 Science

State licenses

LicenseStateTypeSpecialty
021948NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1073874129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CATHERINE AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110101511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CATHERINE AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110101511",
            "telephone_number": "888-888-8888",
            "fax_number": "888-888-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATIROFIAN",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Square, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.