Individual provider Active NPI

Lisa-Marie Williams, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Coral Springs, FL
National Provider Identifier
1457515561
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 9194 Issued in FL
Practice address
11120 NW 1St CT
Coral Springs, FL 33071-8140
Phone
(954) 873-2429
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2022

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 SA 9194 FL Primary

Addresses

Primary practice location

11120 NW 1St CT
Coral Springs, FL 33071-8140

Mailing address

11120 NW 1St CT
Coral Springs, FL 33071-8140
Phone (954) 873-2429

Other practice location 1

5263 NW 96th Dr
Coral Springs, FL 33076-2488
Phone (954) 873-2429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA 9194FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisaslp Therapy, Inc. Speech-Language Pathologist CurrentSince Jun 5, 2022 Accepting new patients
Adults to Pediatrics Therapy LLC Speech-Language Pathologist Past Accepting new patients

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": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1457515561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 NW 1ST CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718140",
            "telephone_number": "954-873-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 NW 1ST CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718140",
            "telephone_number": "954-873-2429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5263 NW 96th Dr",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330762488",
            "country_code": "US",
            "telephone_number": "954-873-2429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LISA-MARIE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 9194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.