Lisa Hawkins Stallings, MSP, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3021 Issued in SC

Practice address

8 Summit PL
Columbia, SC 29204-2401

Phone

(803) 799-0077

NPI assigned

Apr 11, 2007

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Boylston Rehab Services, LLC

  • Speech-Language Pathologist
  • Columbia, SC
  • NPI 1457553083
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104049758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ROSE HAVEN CT",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168233",
            "telephone_number": "803-754-4658",
            "fax_number": "803-691-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SUMMIT PL",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042401",
            "telephone_number": "803-799-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "LISA",
        "middle_name": "HAWKINS",
        "name_prefix": "Mrs.",
        "credential": "MSP, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SAO344",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Stair, MA, LPC/A
• Stephanie Staley-Molefi
• Terrissa Asianae Staley
• Bryce C. Stallings
• Caroline Stallings, RBT
• Sarah Asman Stallings, PA
• James R Stallworth, MD
• Mary Catherine Stamey, MD
• Christanna C Stamp, APRN
• Laurie Ann Stamp, RBT

• Speech-Language Pathologist in Columbia, SC
• Providers in Columbia, SC by specialty
• Speech-Language Pathologist in South Carolina

• 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.