Lisa Marie Williams, MA,CCC,SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP4288 Issued in OH

Practice address

4502 Tylers Vis
West Chester, OH 45069-7758

Phone

(513) 532-6767

NPI assigned

Dec 23, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1255043048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 TYLERS VIS",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450697758",
            "telephone_number": "513-532-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 TYLERS VIS",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450697758",
            "telephone_number": "513-532-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "MA,CCC,SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP4288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.williams@summit-ortho.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4502 Tylers Vis",
            "city": "West Chester",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450697758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brandi Williams
• Brenda J'Nay Williams
• Carol L Williams, LPCC
• Joshua Williams, CNP
• Latasha M Williams
• Markesha Ann Williams, QBHS
• Monica Williams, LISW-S
• Sydney Williams, DDS
• Tori Williams
• Valda Marie Williams

• Speech-Language Pathologist in West Chester, OH
• Providers in West Chester, OH by specialty
• Speech-Language Pathologist in Ohio

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