Lisa Amavisca, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

RPE4222 Issued in CA

Practice address

750 F St Ste 2
Davis, CA 95616-3738

Phone

(530) 758-8944

Fax

(530) 758-4302

NPI assigned

Feb 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Center for Speech Pathology, Inc. a Professional Corporation

  • Speech-Language Pathologist
  • Davis, CA
  • NPI 1972656676
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720126428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 LEONOR DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958332801",
            "telephone_number": "916-359-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 F ST STE 2",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956163738",
            "telephone_number": "530-758-8944",
            "fax_number": "530-758-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAVISCA",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "RPE4222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Alston-Stepnitz
• Stephanie Altchek, NURSE
• Alana R Alvarado
• Veronica Michelle Alvarado, D.D.S
• Monirorth Alvarez
• Elliott Ames
• Sharon Amon, MD
• Emiko Lea Ancheta
• Anne Crowell Anderson, PTA
• Ashley Hartt Anderson, DO

• Speech-Language Pathologist in Davis, CA
• Providers in Davis, CA by specialty
• Speech-Language Pathologist in California

• 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.

Verify at the official NPI Registry.