Individual provider Active NPI

Lisa B Thomas, PHD, CCC-SLP

  • Speech-Language Pathologist
  • Huntington, WV
National Provider Identifier
1174767172
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP0359 Issued in WV
Practice address
One John Marshall Drive
Marshall University Speech and Hearing Center
Huntington, WV 25755-2675
Phone
(304) 696-3641
Fax
(304) 696-2986
NPI assigned
Apr 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP0359 WV Primary

Addresses

Primary practice location

One John Marshall Drive
Marshall University Speech and Hearing Center
Huntington, WV 25755-2675

Mailing address

One John Marshall Drive
Marshall University Speech and Hearing Center
Huntington, WV 25755-2675
Phone (304) 696-3641

Other identifiers 1

IdentifierTypeStateIssuer
001722961MedicaidWV

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

LicenseStateTypeSpecialty
SLP0359WVMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1174767172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE JOHN MARSHALL DRIVE",
            "address_2": "MARSHALL UNIVERSITY SPEECH AND HEARING CENTER",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257552675",
            "telephone_number": "304-696-3641",
            "fax_number": "304-696-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE JOHN MARSHALL DRIVE",
            "address_2": "MARSHALL UNIVERSITY SPEECH AND HEARING CENTER",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257552675",
            "telephone_number": "304-696-3641",
            "fax_number": "304-696-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LISA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHD, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP0359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001722961",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.