Individual provider Active NPI

Lara Ansley Crisler, SLP

  • Speech-Language Pathologist
  • Watkinsville, GA
National Provider Identifier
1215219761
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP007027 Issued in GA
Practice address
1731 Meriweather Dr Ste 108
Watkinsville, GA 30677-7747
Phone
(706) 389-4117
Fax
(706) 534-9027
NPI assigned
Sep 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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 SLP007027 GA Primary

Addresses

Primary practice location

1731 Meriweather Dr Ste 108
Watkinsville, GA 30677-7747

Mailing address

1040 Thornwell CT
Athens, GA 30606-7012
Phone (706) 353-3575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160909001718 GA Practitioner - Qualified Speech Language Pathologist 0143516674 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Regents of the University System of Georgia CurrentSince Aug 1, 2016 Accepting new patients
Heart to Heart Speech Therapy, LLC Speech-Language Pathologist CurrentSince Dec 7, 2025 Accepting new patients
Board of Regents of the University System of Georgia Speech-Language Pathologist CurrentSince Aug 1, 2016 Accepting new patients
Rightstart Therapy Service, Inc. Speech-Language Pathologist Past Accepting new patients

Locations

Gilbert Health Ctr
Athens, GA 30602
Phone (706) 542-8720

110 Carlton St
Athens, GA 30602
Phone (706) 542-4598

110 Carlton St
#593
Athens, GA 30602
Phone (706) 424-6844

1731 Meriweather Dr
Ste 108
Watkinsville, GA 30677
Phone (706) 389-4117

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1315699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1215219761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 THORNWELL CT",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067012",
            "telephone_number": "706-353-3575",
            "fax_number": "706-353-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 MERIWEATHER DR STE 108",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777747",
            "telephone_number": "706-389-4117",
            "fax_number": "706-534-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISLER",
        "first_name": "LARA",
        "middle_name": "ANSLEY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-11",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.