NPIMap

Organization Active NPI

Lisa M. Marshall

Doing business as Kidz Zone Pediatric Speech Therapy

  • Speech-Language Pathologist
  • Morristown, TN
National Provider Identifier
1689892507
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LISA M. MARSHALL
Doing business as
Kidz Zone Pediatric Speech Therapy
Practice address
420 W Morris Blvd
Suite 300
Morristown, TN 37813-2283
Phone
(423) 254-1978
Fax
(423) 289-1072
NPI assigned
Apr 23, 2007
Last updated
Feb 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Lisa M. Marshall, MS, CCC-SLP
Title
Speech-Language Pathologist
Phone
(423) 254-1978

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

420 W Morris Blvd
Suite 300
Morristown, TN 37813-2283

Mailing address

PO Box 1091
Morristown, TN 37816-1091
Phone (423) 254-1978

Other identifiers 1

IdentifierTypeStateIssuer
5440980MedicaidTN

Other names 1

  • Kidz Zone Pediatric Speech Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kidz Zone2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

226 Euclid Ave
Morristown, TN 37813
Phone (423) 254-1978

900 Trade St
Morristown, TN 37813
Phone (423) 254-1978

420 W Morris Blvd
Ste 300
Morristown, TN 37813
Phone (423) 254-1978

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1689892507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1091",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378161091",
            "telephone_number": "423-254-1978",
            "fax_number": "423-289-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MORRIS BLVD",
            "address_2": "SUITE 300",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132283",
            "telephone_number": "423-254-1978",
            "fax_number": "423-289-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M. MARSHALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "423-254-1978",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5440980",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidz Zone Pediatric Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.