Lisa Lea Stephens, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00003281 Issued in WA

Practice address

214 E Pine Street
Oakville, WA 98568

Phone

(360) 273-0220

Fax

(360) 273-5510

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Panoptic Speech Therapy Services, PLLC

  • Speech-Language Pathologist
  • Oakville, WA
  • NPI 1851764310
  NPD (past) Authorized official
• Associated Team TX, Inc

  • Speech-Language Pathologist
  • Oakville, WA
  • NPI 1477852812
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1609936814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 225",
            "address_2": "214 E PINE",
            "city": "OAKVILLE",
            "state": "WA",
            "postal_code": "985680225",
            "telephone_number": "360-273-0220",
            "fax_number": "360-273-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E PINE STREET",
            "city": "OAKVILLE",
            "state": "WA",
            "postal_code": "98568",
            "telephone_number": "360-273-0220",
            "fax_number": "360-273-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "LISA",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7138308",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Dean Penney, CDP
• Barbara Sanders, LMP, LMHC
• Jessica Simmons, FNP
• Gary Scott Sims, S.U.D.P.
• Kelli Smith, MC61336785
• The Chehalis Tribal Health & Wellness Center
• The Chehalis Tribal Health & Wellness Center
• The Chehalis Tribal Health Center
• Unified Health Care, Inc
• Tammy E Vessey, CDP

• Speech-Language Pathologist in Oakville, WA
• Providers in Oakville, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.