Individual provider Active NPI

Lisa Karen Fenter, SLPCCC

  • Speech-Language Pathologist
  • Levittown, NY
National Provider Identifier
1497025779
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
012034 Issued in NY
Practice address
150 Abbey LN
Levittown, NY 11756-4042
Phone
(516) 520-8300
NPI assigned
Jan 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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 012034 NY Primary

Addresses

Primary practice location

150 Abbey LN
Levittown, NY 11756-4042

Mailing address

1794 Beech St
Wantagh, NY 11793-3430
Phone (516) 783-7270

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

LicenseStateTypeSpecialty
012034NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Levittown School District Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1497025779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1794 BEECH ST",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933430",
            "telephone_number": "516-783-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ABBEY LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117564042",
            "telephone_number": "516-520-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTER",
        "first_name": "LISA",
        "middle_name": "KAREN",
        "name_prefix": "Ms.",
        "credential": "SLPCCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.