Active NPI
Lisanne Simms Craven, M.S.
- Speech-Language Pathologist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0405
- Practice address
- 9931 Forest Green Blvd
Louisville, KY 40223-5123 - Phone
- (502) 588-0750
- NPI assigned
- Jun 4, 2009
- Last updated
- Aug 24, 2020
- 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 | 0405 | KY | Primary |
Addresses
Primary practice location
9931 Forest Green Blvd
Louisville, KY 40223-5123
Mailing address
2028 Strathmoor Blvd
Louisville, KY 40205-2528
Phone (502) 893-1285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100321590 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 E Chestnut St
Suite 710
Louisville, KY 40202-5707
Phone 50258383032
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.96 of 100
- Quality
- 56.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0405 | KY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Lisanne S. Craven and Associates, PLLC | Speech-Language Pathologist | Past | Accepting new patients |
| Merit Anesthesia PLLC | Past | Accepting new patients | |
| VA Medical Center | Speech-Language Pathologist | Past | Accepting new patients |
Locations
401 E Chestnut St
Unit 710
Louisville, KY 40202
Phone 50258383031332
9931 Forest Green Blvd
Louisville, KY 40223
Phone (502) 588-0750
Organizations & group practices 5
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.
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- NPI 1366722316
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- Speech-Language Pathologist
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- NPI 1184854986
-
- Speech-Language Pathologist
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- NPI 1730234055
-
dba ULP Speech & Audiology
- Speech-Language Pathologist
- Louisville, KY
- NPI 1629348271
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1366624967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1699901637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2028 STRATHMOOR BLVD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402052528",
"telephone_number": "502-893-1285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9931 FOREST GREEN BLVD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235123",
"telephone_number": "502-588-0750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAVEN",
"first_name": "LISANNE",
"middle_name": "SIMMS",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-04",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "0405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100321590",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.