Lisa Alexis Gonzalez, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA13801 Issued in FL

Practice address

13155 SW 134TH St Ste 207
Miami, FL 33186-4488

Phone

(786) 842-3624

Fax

(786) 329-6693

NPI assigned

Sep 9, 2014

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

Other identifiers 1

Other names 1

• Lisa Alexis Sakowitz Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Super Hero Speech, P.a.

  • Speech-Language Pathologist
  • Miami, FL
  • NPI 1124495791
  Medicare reassignment NPD
• Super Hero Speech

  • Speech-Language Pathologist
  • Miami, FL
  • NPI 1568909539
  NPD

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1275934341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13155 SW 134TH ST STE 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864488",
            "telephone_number": "786-842-3624",
            "fax_number": "786-329-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13155 SW 134TH ST STE 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864488",
            "telephone_number": "786-842-3624",
            "fax_number": "786-329-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LISA",
        "middle_name": "ALEXIS",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013205900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SAKOWITZ",
            "middle_name": "ALEXIS",
            "credential": "M.S. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lidermis Gonzalez, APRN
• Lidia Gonzalez, RBT
• Lidny Gonzalez
• Lil Gonzalez, NURSE PRACTICIONER
• Lilian Gonzalez
• Lisaidy Gonzalez
• Lisandra Gonzalez
• Lisandra Gonzalez
• Lisandra C Gonzalez, MD
• Lisbet Gonzalez, BS SLP-A

• Speech-Language Pathologist in Miami, FL
• Providers in Miami, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.