Active NPI
Lisa Carolyn Hoselton, MSCCC-SLP
- Speech-Language Pathologist
- Foristell, MO
National Provider Identifier
1497087043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01207
- Practice address
- 2232 Hunn Rd
Foristell, MO 63348-2650 - Phone
- (314) 706-2583
- NPI assigned
- Feb 8, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 01207 | MO | |
| Speech-Language Pathologist | 235Z00000X | 146.001378 | IL | |
| Speech-Language Pathologist | 235Z00000X | 01207 | MO | Primary |
Addresses
Primary practice location
2232 Hunn Rd
Foristell, MO 63348-2650
Mailing address
2232 Hunn Rd
Foristell, MO 63348-2650
Phone (314) 706-2583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240722003917 | MO | Practitioner - Qualified Speech Language Pathologist | 3274079603 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.001378 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Advantage Solutions, PLLC | Current | Accepting new patients |
Locations
8477 S Suncoast Blvd
Homosassa, FL 34446
Phone (800) 381-0822
1105 Village Rd
Neosho, MO 64850
Phone (800) 381-0822
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": "1265587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265587200000",
"number": "1497087043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2232 HUNN RD",
"city": "FORISTELL",
"state": "MO",
"postal_code": "633482650",
"telephone_number": "314-706-2583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2232 HUNN RD",
"city": "FORISTELL",
"state": "MO",
"postal_code": "633482650",
"telephone_number": "314-706-2583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSELTON",
"first_name": "LISA",
"middle_name": "CAROLYN",
"credential": "MSCCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-08",
"last_updated": "2010-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MO",
"license": "01207",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.001378",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "01207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Foristell, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.