Lisa Corrine Peterson-Roberts, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

2715 Lilac St
Longview, WA 98632-3526

Phone

(360) 575-7500

NPI assigned

Nov 16, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1639413438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PENNY LANE",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986261881",
            "telephone_number": "360-430-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 LILAC ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323526",
            "telephone_number": "360-575-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON-ROBERTS",
        "first_name": "LISA",
        "middle_name": "CORRINE",
        "name_prefix": "Mrs.",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy K Perkins, BA, AAC
• Rachel Lynette Perry, CDP
• Jessica Adrienne Pete
• Peter C Wagner DMD PS
• Richard Petersen
• Bruce E Peterson, P.T.
• Patricia J. Peterson, MD
• Lan N Pham, M.D.
• Natasha Phan, RN
• Philip H. Henderson III

• Speech-Language Assistant in Longview, WA
• Providers in Longview, WA by specialty
• Speech-Language Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.