Active NPI
Lisa J Lennox, M.A., CCC-SLP
- Speech-Language Pathologist
- Folsom, CA
National Provider Identifier
1669618641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 17895
- Practice address
- 1301 E Bidwell St
Suite 201
Folsom, CA 95630-3565 - Phone
- (916) 214-9337
- NPI assigned
- Dec 23, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 17895 | CA | Primary |
Addresses
Primary practice location
1301 E Bidwell St
Suite 201
Folsom, CA 95630-3565
Mailing address
4961 8TH Ave
Sacramento, CA 95820-1514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17895 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1669618641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4961 8TH AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958201514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 E BIDWELL ST",
"address_2": "SUITE 201",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303565",
"telephone_number": "916-214-9337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENNOX",
"first_name": "LISA",
"middle_name": "J",
"name_prefix": "Miss",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-23",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "17895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.