Active NPI
Lisa Lee Earnheart, M.A SLPCCC
- Speech-Language Pathologist
- Crystal River, FL
National Provider Identifier
1689710857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA7047
- Practice address
- 7647 W Gulf to Lake Hwy
Suite 4
Crystal River, FL 34429-7962 - Phone
- (352) 795-4181
- Fax
- (352) 795-7981
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | SA7047 | FL | Primary |
Addresses
Primary practice location
7647 W Gulf to Lake Hwy
Suite 4
Crystal River, FL 34429-7962
Mailing address
742 W Bannister Dr
Citrus Springs, FL 34434-8434
Phone (352) 746-9464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 888158800 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA7047 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1689710857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "742 W BANNISTER DR",
"city": "CITRUS SPRINGS",
"state": "FL",
"postal_code": "344348434",
"telephone_number": "352-746-9464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7647 W GULF TO LAKE HWY",
"address_2": "SUITE 4",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344297962",
"telephone_number": "352-795-4181",
"fax_number": "352-795-7981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARNHEART",
"first_name": "LISA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "M.A SLPCCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA7047",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "888158800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crystal River, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.