Active NPI
Lisa Diane Yauch Cadden, MS CCCSLP
- Speech-Language Pathologist
- New Bedford, MA
National Provider Identifier
1609911031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2851
- Practice address
- 92 Grape St
Suite #1
New Bedford, MA 02740-2143 - Phone
- (508) 991-2332
- Fax
- (508) 991-8437
- NPI assigned
- Feb 21, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2851 | MA | Primary |
| Speech-Language Pathologist | 235Z00000X | 0500 | RI | |
| Speech-Language Pathologist | 235Z00000X | 003881 | CT |
Addresses
Primary practice location
92 Grape St
Suite #1
New Bedford, MA 02740-2143
Mailing address
92 Grape St
Suite #1
New Bedford, MA 02740-2143
Phone (508) 991-2332
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04-3581104 | Other | UNITED HEALTH CARE | |
| 0720186 | Other | TRICARE | |
| 1609911031 | Other | MA | BMC |
| 04-3581104 | Other | AETNA | |
| AA147788 | Other | HARVARD PILGRIM | |
| 691582 | Other | TUFTS | |
| SP0158 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0720186 | Medicaid | MA |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003881 | CT | MD | Dental Hygienist |
| 2851 | MA | MD | Occupational Therapy Assistant |
| 0500 | RI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South East Center for Swallowing & Communication | Speech-Language Pathologist | 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.
-
- Speech-Language Pathologist
- New Bedford, MA
- NPI 1922102912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237507200000",
"number": "1609911031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 GRAPE ST",
"address_2": "SUITE #1",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027402143",
"telephone_number": "508-991-2332",
"fax_number": "508-991-8437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 GRAPE ST",
"address_2": "SUITE #1",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027402143",
"telephone_number": "508-991-2332",
"fax_number": "508-991-8437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAUCH CADDEN",
"first_name": "LISA",
"middle_name": "DIANE",
"credential": "MS CCCSLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2009-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "2851",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "RI",
"license": "0500",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "003881",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "04-3581104",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "0720186",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC",
"identifier": "1609911031",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "04-3581104",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA147788",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "691582",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "SP0158",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0720186",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.