Active NPI
Lisbet Nicolas
- Speech-Language Assistant
- Vista, CA
National Provider Identifier
1467197194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 6929
- Practice address
- 955 Postal Way Apt 56
Vista, CA 92083-6976 - Phone
- (760) 622-5765
- NPI assigned
- Apr 27, 2022
- 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 Assistant | 2355S0801X | 6929 | CA | Primary |
Addresses
Primary practice location
955 Postal Way Apt 56
Vista, CA 92083-6976
Mailing address
955 Postal Way Apt 56
Vista, CA 92083-6976
Phone (760) 622-5765
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6929 | CA | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651017600000",
"number": "1467197194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 POSTAL WAY APT 56",
"city": "VISTA",
"state": "CA",
"postal_code": "920836976",
"telephone_number": "760-622-5765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 POSTAL WAY APT 56",
"city": "VISTA",
"state": "CA",
"postal_code": "920836976",
"telephone_number": "760-622-5765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLAS",
"first_name": "LISBET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-27",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "6929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.