Lisa Ann Iman, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

15004 Issued in NC

Practice address

18676 US Highway 17
Hampstead, NC 28443-4049

Phone

(910) 821-1700

Fax

(910) 319-9105

NPI assigned

Dec 22, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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.

• Raise the Bar Therapy Services

  • Multi-Specialty Clinic/Center
  • Hampstead, NC
  • NPI 1023486602

  Speech-Language Pathologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1417312141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 CLEARBROOK DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284095901",
            "telephone_number": "757-839-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18676 US HIGHWAY 17",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284434049",
            "telephone_number": "910-821-1700",
            "fax_number": "910-319-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAN",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-22",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006558",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012723",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "15004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzi Rose Hopkins, LCSWA
• Kayla Joy Hoyt
• Holly Anne Hudson
• Jennifer Leigh Huff, LCSW
• Carl Douglas Hurd, PMHNP
• Innate Health Family Chiropractic & Wellness
• Island Family Medicine, PLLC
• Darrian Nicole Ivey
• Yoneida Izaguirre
• Jennifer Whitener Jackson, PTA

• Speech-Language Pathologist in Hampstead, NC
• Providers in Hampstead, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.