Lisa Van Loo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2800 NE 54TH St
Vancouver, WA 98663-1945

Phone

(360) 313-2506

NPI assigned

Nov 17, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1174232250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 NE 54TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986631945",
            "telephone_number": "360-313-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 NE 54TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986631945",
            "telephone_number": "360-313-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN LOO",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew David Van Auken, M.D., M.P.H.
• Nicole Marie Van de Voorde, RN
• Lane Van Der Sluis, PSY D
• Jacqueline Van Driessche, RN
• Sharon Van Herk
• Alysa Van Orman
• Brian Van Over
• Brittany Renee Van Sickle
• Van Vista Plaza LLLP
• Laura Kay Van Voorhis, ARNP

• Speech-Language Pathologist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.