Lisa A Spells, CCCL SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP0000001649 Issued in TN

Practice address

611 North Fifth St
Nashville, TN 37207-5812

Phone

(615) 226-1265

Fax

(877) 235-2914

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• L.a.S. Therapy Network Speech Rehabilitation & Education Consultation

  • Speech-Language Pathologist
  • Nashville, TN
  • NPI 1194839886
  NPD Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083622070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 NORTH FIFTH ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372075812",
            "telephone_number": "615-226-1265",
            "fax_number": "877-235-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 NORTH FIFTH ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372075812",
            "telephone_number": "615-226-1265",
            "fax_number": "877-235-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELLS",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CCCL SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "SLP0000001649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4100212",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446680",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Speer, MSMFT
• Everett Leighton Durham Speers, PHD
• Rebecca Lynne Speier, MD
• Anne-Marie Speight, M.S., O.T.D.
• Paige Gildea Spellman
• Irene V. Spence, RN, NP
• Stephanie M Spence, NP
• Walter Colin Spence, PHARM.D.
• Mary Taylor Spencer Edwards, FNP-C
• Helen Catherine Hughes Spencer, NP

• Speech-Language Pathologist in Nashville, TN
• Providers in Nashville, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.