Individual provider Active NPI

Lisa Geary

  • Speech-Language Pathologist
  • Yorktown, VA
National Provider Identifier
1275978363
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202006716 Issued in VA
Practice address
105 Terrebonne Rd
Yorktown, VA 23692-4817
Phone
(443) 854-7684
NPI assigned
May 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 03637 MD
Speech-Language Pathologist 235Z00000X 2202006716 VA Primary

Addresses

Primary practice location

105 Terrebonne Rd
Yorktown, VA 23692-4817

Mailing address

104 Yorkview Rd
Yorktown, VA 23692-4246
Phone (443) 854-7684

Other names 1

  • Lisa Zipin Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220223000041 VA Practitioner - Qualified Speech Language Pathologist 9133353840 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03637MDMDChiropractor
2202006716VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Yorktown Therapy Services Speech-Language Pathologist CurrentSince Jan 1, 2022 Accepting new patients

Locations

105 Terrebonne Rd
Yorktown, VA 23692
Phone (757) 255-8277

Organizations & group practices 1

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": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1275978363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 YORKVIEW RD",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236924246",
            "telephone_number": "443-854-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 TERREBONNE RD",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236924817",
            "telephone_number": "443-854-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEARY",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "03637",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "ZIPIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.