Active NPI
Lisa Marie Marks, M.S.
- Speech-Language Pathologist
- Eunice, LA
National Provider Identifier
1700914165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4753
- Practice address
- 421 S 4TH St
Eunice, LA 70535-5301 - Phone
- (337) 331-4234
- Fax
- (337) 886-8994
- NPI assigned
- Feb 28, 2007
- 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 | 4753 | LA | Primary |
Addresses
Primary practice location
421 S 4TH St
Eunice, LA 70535-5301
Mailing address
301 Magnolia Farms Rd
Carencro, LA 70520-5918
Phone (337) 224-1423
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4753 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Connections of Acadiana, LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Speech Clinic, Inc | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Eunice, LA
- NPI 1285849562
-
- Speech-Language Pathologist
- Eunice, LA
- NPI 1083718001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700914165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 MAGNOLIA FARMS RD",
"city": "CARENCRO",
"state": "LA",
"postal_code": "705205918",
"telephone_number": "337-224-1423",
"fax_number": "337-886-8994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 S 4TH ST",
"city": "EUNICE",
"state": "LA",
"postal_code": "705355301",
"telephone_number": "337-331-4234",
"fax_number": "337-886-8994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKS",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "4753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eunice, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.