Lisa Ann McCoy, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

07429 Issued in MD

Practice address

19528 Olney Mill Rd
Olney, MD 20832-1111

Phone

(301) 924-3140

NPI assigned

Oct 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Independent Living Inc.

  • Speech-Language Pathologist
  • Tampa, FL
  • NPI 1124072947
  NPD (past)
• Independent Living Inc.

  • Behavior Analyst
  • Tampa, FL
  • NPI 1750156519
  NPD (past)

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1154510709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HUNGERFORD DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19528 OLNEY MILL RD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321111",
            "telephone_number": "301-924-3140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6508 Gunn Highway",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336254022",
            "country_code": "US",
            "telephone_number": "813-963-6923",
            "fax_number": "813-264-0768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ4355",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "07429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher John Mays, M.D.
• James M McCabe, M.D.
• Jacob Daniel McCann
• Erin Marie McClanahan
• Ann McCord, PT
• Justice Lynaee McFarland
• Leah R McGown
• Heather McIntosh, MS, CCC-SLP
• Rachel McIntyre, PTA
• Christopher Thor McKallen, DPT

• Speech-Language Pathologist in Olney, MD
• Providers in Olney, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.