Individual provider Active NPI

Lisa Diane Yauch Cadden, MS CCCSLP

  • Speech-Language Pathologist
  • New Bedford, MA
National Provider Identifier
1609911031
Registry record updated Mar 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2851 Issued in MA
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

Updated by the provider on Mar 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04-3581104OtherUNITED HEALTH CARE
0720186OtherTRICARE
1609911031OtherMABMC
04-3581104OtherAETNA
AA147788OtherHARVARD PILGRIM
691582OtherTUFTS
SP0158OtherMABLUE CROSS BLUE SHIELD
0720186MedicaidMA

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

LicenseStateTypeSpecialty
003881CTMDDental Hygienist
2851MAMDOccupational Therapy Assistant
0500RIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.