Active NPI
Lisa Edwards, MA CCC-SLP
- Speech-Language Pathologist
- Williamsburg, VA
National Provider Identifier
1629974415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202008049
- Practice address
- 460 McLaws Cir Ste 110
Williamsburg, VA 23185-6428 - Phone
- (412) 596-0350
- NPI assigned
- Oct 17, 2026
- Last updated
- Oct 17, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202008049 | VA | Primary |
Addresses
Primary practice location
460 McLaws Cir Ste 110
Williamsburg, VA 23185-6428
Mailing address
460 McLaws Cir Ste 110
Williamsburg, VA 23185-6428
Phone (412) 596-0350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792195200000",
"number": "1629974415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 MCLAWS CIR STE 110",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231856428",
"telephone_number": "412-596-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 MCLAWS CIR STE 110",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231856428",
"telephone_number": "412-596-0350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "LISA",
"name_prefix": "Mrs.",
"credential": "MA CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-17",
"last_updated": "2026-10-17",
"certification_date": "2026-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202008049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
- Eckerd Corporation (Rite Aid Pharmacy 11241)
- Eckerd Corporation (Rite Aid Pharmacy 11918)
- Eckerd Corporation (Rite Aid Pharmacy 11242)
- Kristina F. Edmonds, OT
- Edward H Tiller PHD PC (Williamsburg Centre For Therapy)
- Taejah Renaye Edwards
- Emily Rose Egress, MD
- Tracey Eisen, MS, ATC
- Tony Ikechukwu Ejinwa, PHARMACY TECH
- Patience Nnenna Ekperi, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.