Lisa Rubin Bull, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202002478 Issued in VA

Practice address

1604 Spring Hill Rd
Suite 310
Vienna, VA 22182-7510

Phone

(703) 546-8594

NPI assigned

Jul 19, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1639482771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 TALLYRAND CT",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712700",
            "telephone_number": "703-925-0118",
            "fax_number": "703-925-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 SPRING HILL RD",
            "address_2": "SUITE 310",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221827510",
            "telephone_number": "703-546-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULL",
        "first_name": "LISA",
        "middle_name": "RUBIN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202002478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Lorene Brumbaugh
• Julia Brzozowski
• BTR Anesthesia, Corp
• Breaywna Lashelle Buchanan
• Elizabeth Ann Bulger, M.D.
• Mallary Burch
• Cathryn R Burgess, NP
• Jamar Burrell, RESIDENT LPC
• Corinne Marie Burtschi, FNP-DNP
• Tatiana Busu, MD

• Speech-Language Pathologist in Vienna, VA
• Providers in Vienna, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.