Active NPI
Lisa Bowers, PH.D. CCC-SLP
- Speech-Language Pathologist
- Fayetteville, AR
National Provider Identifier
1144607441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3390
- Practice address
- 606 N. Razorback Road
Fayetteville, AR 72701-3069 - Phone
- (479) 575-4509
- Fax
- (479) 575-4507
- NPI assigned
- May 6, 2015
- 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 Pathologist | 235Z00000X | 3390 | AR | Primary |
Addresses
Primary practice location
606 N. Razorback Road
Fayetteville, AR 72701-3069
Mailing address
606 N. Razorback Rd.
Fayetteville, AR 72701
Phone (479) 575-4509
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3390 | AR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas | Speech-Language Pathologist | Past | Accepting new patients |
| University of Arkansas | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Fayetteville, AR
- NPI 1619908787
-
- Speech-Language Pathologist
- Fayetteville, AR
- NPI 1972726578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1144607441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 N. RAZORBACK RD.",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "72701",
"telephone_number": "479-575-4509",
"fax_number": "479-575-4507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 N. RAZORBACK ROAD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727013069",
"telephone_number": "479-575-4509",
"fax_number": "479-575-4507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "LISA",
"credential": "PH.D. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-06",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "3390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.