Active NPI
Lakisha Lathan Truesdale, MS, CCC-SLP
- Speech-Language Pathologist
- Lancaster, SC
National Provider Identifier
1477755189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3686
- Practice address
- 304 North White Street
Lancaster, SC 29720-2167 - Phone
- (803) 283-6318
- Fax
- (803) 753-9162
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6556 | NC | |
| Speech-Language Pathologist | 235Z00000X | 3686 | SC | Primary |
Addresses
Primary practice location
304 North White Street
Lancaster, SC 29720-2167
Mailing address
PO Box 2795
Lancaster, SC 29721-2795
Phone (803) 283-4445
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7412209 | Medicaid | NC | |
| SA0607 | Medicaid | SC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6556 | NC | MD | Pharmacist |
| 3686 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestones Speech and Language LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Links of Love Youth Services, LLC | 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.
-
- Speech-Language Pathologist
- Lancaster, SC
- NPI 1588874184
-
- Case Management Agency
- Lancaster, SC
- NPI 1598326209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1477755189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2795",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297212795",
"telephone_number": "803-283-4445",
"fax_number": "803-339-4094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 NORTH WHITE STREET",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297202167",
"telephone_number": "803-283-6318",
"fax_number": "803-753-9162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUESDALE",
"first_name": "LAKISHA",
"middle_name": "LATHAN",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "6556",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "3686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7412209",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SA0607",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.