Lisa Alvarez Kieran, MA, CCC - SLP

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

007527 - 1 Issued in NY

Practice address

115 Split Oak Dr
East Norwich, NY 11732-1146

Phone

(516) 521-2726

NPI assigned

Apr 19, 2009

Last updated

Apr 19, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Excaliber Consulting Inc.

  • Early Intervention Provider Agency
  • East Norwich, NY
  • NPI 1194968289
  NPD (past) Authorized official

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

{
    "created_epoch": "1240099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240099200000",
    "number": "1669615738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SPLIT OAK DR",
            "city": "EAST NORWICH",
            "state": "NY",
            "postal_code": "117321146",
            "telephone_number": "516-521-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SPLIT OAK DR",
            "city": "EAST NORWICH",
            "state": "NY",
            "postal_code": "117321146",
            "telephone_number": "516-521-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERAN",
        "first_name": "LISA",
        "middle_name": "ALVAREZ",
        "name_prefix": "Ms.",
        "credential": "MA, CCC - SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-19",
        "last_updated": "2009-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "007527 - 1",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "007527 - 1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John B. Caramagna, D.O., PLLC
• K.B. Occupational Therapy P.C.
• Elizabeth Anne Kahl, LMHC
• Lauren Kani
• Eli Margrethe Katus, M.D.
• Michael Steven Klein, DPM
• Julie Ann Lange-Castronova, PSY.D.
• Loren Lapenna Goold, LCSW
• Beverly Ann Leroux, RN
• Sheila Link, L.P.N.

• Early Intervention Provider Agency in East Norwich, NY
• Providers in East Norwich, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2009; 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.