Individual provider Active NPI

Lisa J. Sawyer, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Scottsdale, AZ
National Provider Identifier
1295829554
Registry record updated Sep 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP 1638 Issued in AZ
Practice address
14944 N 102ND St
Scottsdale, AZ 85255-8901
Phone
(480) 206-5193
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 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 SLP 1638 AZ Primary

Addresses

Primary practice location

14944 N 102ND St
Scottsdale, AZ 85255-8901

Mailing address

14944 N 102ND St
Scottsdale, AZ 85255-8901
Phone (480) 206-5193

Other identifiers 2

IdentifierTypeStateIssuer
SLP1638OtherAZDOH LICENSE
12050887OtherNATIONAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191212000374 AZ Practitioner - Qualified Speech Language Pathologist 1850724493 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP 1638AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Theracare PLLC Speech-Language Pathologist CurrentSince Nov 1, 2019 Accepting new patients
Heartland Therapy, Inc. CurrentSince Nov 1, 2019 Accepting new patients

Locations

2830 E Brown Rd
Ste 1
Mesa, AZ 85213
Phone (480) 830-1188

530 E McDowell Rd
Phoenix, AZ 85004
Phone (480) 326-7792

530 E McDowell Rd
Ste 107475
Phoenix, AZ 85004

Organizations & group practices 2

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252713600000",
    "number": "1295829554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14944 N 102ND ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852558901",
            "telephone_number": "480-206-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14944 N 102ND ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852558901",
            "telephone_number": "480-206-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER",
        "first_name": "LISA",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP 1638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH LICENSE",
            "identifier": "SLP1638",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL LICENSE",
            "identifier": "12050887",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2009; 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.