Lisa Dawn Collins, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9869 Issued in NC

Practice address

850 Johns Hopkins Drive
Greenville, NC 27835

Phone

(252) 916-1029

Fax

(252) 355-9218

NPI assigned

Mar 27, 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

Other names 1

• Lisa Dawn Cox Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1659647485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2489 COUNTY HOME ROAD APT 181",
            "city": "GREENVILE",
            "state": "NC",
            "postal_code": "27858",
            "telephone_number": "252-622-2689",
            "fax_number": "252-355-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 JOHNS HOPKINS DRIVE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27835",
            "telephone_number": "252-916-1029",
            "fax_number": "252-355-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "LISA",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "9869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "COX",
            "middle_name": "DAWN",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kayla Collier
• Bobby McManus Collins II, DDS, MS
• David F Collins, CERTIFIED ORTHOTIST
• Erica Nelson Collins, CRNA
• Erin Mallory Collins, MS, BCBA
• Matthew Alan Collins, MD
• Meredith Lynn Collins, D.O.
• Michael Daniel Collins
• Matthew Colna, MD
• Cesar Humberto Colon, CRNA

• Speech-Language Pathologist in Greenville, NC
• Providers in Greenville, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.