Active NPI
Lisa Ann Dement, MACCCSLP
- Speech-Language Pathologist
- Akron, OH
National Provider Identifier
1457564262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5576
- Practice address
- 1150 W Market St
Akron, OH 44313-7129 - Phone
- (330) 867-2150
- Fax
- (330) 836-2671
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5576 | OH | Primary |
Addresses
Primary practice location
1150 W Market St
Akron, OH 44313-7129
Mailing address
2429 Harvester Dr
Stow, OH 44224-7042
Phone (330) 622-5052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260319004038 | OH | Practitioner - Qualified Speech Language Pathologist | 0648754317 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
901 Hugh Wallis Rd S
Lafayette, LA 70508-2511
PO Box
Lafayette, LA 70505
PO Box
Suite 51266
Lafayette, LA 70505-1266
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5576 | OH | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Physical Therapy Services of Mayfield Heights, LLC | Speech-Language Pathologist | Current | Accepting new patients |
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.
-
- Physical Therapist
- Richmond Heights, OH
- NPI 1982361598
OH, Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457564262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2429 HARVESTER DR",
"city": "STOW",
"state": "OH",
"postal_code": "442247042",
"telephone_number": "330-622-5052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 W MARKET ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443137129",
"telephone_number": "330-867-2150",
"fax_number": "330-836-2671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMENT",
"first_name": "LISA",
"middle_name": "ANN",
"credential": "MACCCSLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "5576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.