Lisa M Direnzo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.06359 Issued in OH

Practice address

6000 Youngstown Warren Rd
Niles, OH 44446-4624

Phone

(330) 518-6543

NPI assigned

May 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1651363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651363200000",
    "number": "1114662590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7267 HANBURY CLOSE",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068230",
            "telephone_number": "330-518-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 YOUNGSTOWN WARREN RD",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464624",
            "telephone_number": "330-518-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRENZO",
        "first_name": "LISA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-01",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.06359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lisa.direnzo@trumbullesc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6000 Youngstown Warren Rd",
            "city": "Niles",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444464624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lindsay Erin Devecchio, LPC
• Madison Devita
• Hannah Marie Dewalt
• Tyler Diaz
• Virginia Dinh, RPH
• Sherdena Dixon-Wilson
• Sarah Rose Dobrowolski, OT
• Francesca Dohar
• Christy Lee Dolby, LPCC-S
• Megan D Doll, LPN

• Speech-Language Pathologist in Niles, OH
• Providers in Niles, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2022; 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.