Active NPI
Lisa Ann Byrd
- Speech-Language Assistant
- La Pine, OR
National Provider Identifier
1124991450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- A0117
- Practice address
- 51627 Coach Road
La Pine, OR 97739 - Phone
- (541) 536-2718
- NPI assigned
- Sep 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | A0117 | OR | Primary |
Addresses
Primary practice location
51627 Coach Road
La Pine, OR 97739
Mailing address
PO Box 2202
La Pine, OR 97739-2202
Phone (541) 536-2718
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0117 | OR | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1124991450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2202",
"city": "LA PINE",
"state": "OR",
"postal_code": "977392202",
"telephone_number": "541-536-2718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51627 COACH ROAD",
"city": "LA PINE",
"state": "OR",
"postal_code": "97739",
"telephone_number": "541-536-2718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "LISA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-24",
"last_updated": "2025-09-24",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "OR",
"license": "A0117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Pine, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.