Lisa M Dewey, MA,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3122 Issued in NC

Practice address

10 Parker LN
Suite 1
Pinehurst, NC 28374-7903

Phone

(910) 295-3133

Fax

(910) 295-2723

NPI assigned

Mar 16, 2007

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1689798852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RED CEDAR LN",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283746918",
            "telephone_number": "910-235-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARKER LN",
            "address_2": "SUITE 1",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283747903",
            "telephone_number": "910-295-3133",
            "fax_number": "910-295-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEY",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MA,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "3122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE- TAX ID",
            "identifier": "562033116",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28436",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3403400",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Depth Solutions
• Depth Solutions PLLC
• Ashley Descoteaux
• Mary Elizabeth Devine, CRNA
• Michele Lisa Devita, APRN, DNP
• Amanda Di-Majo, PAC
• Lester Diaz
• Elizabeth Burt Diburro
• Richard Warren Dickson, D.O.
• Daniel Stephen Difrischia Jr., M.D.

• Speech-Language Pathologist in Pinehurst, NC
• Providers in Pinehurst, 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 Oct 27, 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.