Individual provider Active NPI

Lisa Famiglietti, MS CCCSLPA

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1720183429
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11398 Issued in TX
Practice address
2525 Wallingwood
BLDG #2
Austin, TX 78746
Phone
(512) 327-6179
Fax
(512) 327-1545
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 11398 TX Primary
Audiologist 231H00000X 50361 TX

Addresses

Primary practice location

2525 Wallingwood
BLDG #2
Austin, TX 78746

Mailing address

2525 Wallingwood
BLDG #2
Austin, TX 78746
Phone (512) 327-6179

Other identifiers 1

IdentifierTypeStateIssuer
061352302MedicaidTX

Other names 1

  • Lisa Famiglietti Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090828000248 TX Practitioner - Qualified Speech Language Pathologist 5597810408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Texas Speech Pathology Services, IncGroup PAC ID 3678628583, 8 clinicians

Practice addresses (Care Compare)

2525 Wallingwood BLDG
Austin, TX 78746-6900
Phone (512) 327-6179

2525 Wallingwood Dr BLDG
Suite 2
Austin, TX 78746-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
50361TXMDPharmacist
11398TXMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Speech Pathology Services, Inc Audiologist CurrentSince Jul 8, 2009 Accepting new patients

Locations

2525 Wallingwood Dr
Bldg 2
Austin, TX 78746
Phone (512) 327-6179

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1720183429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 WALLINGWOOD",
            "address_2": "BLDG #2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-327-6179",
            "fax_number": "512-327-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 WALLINGWOOD",
            "address_2": "BLDG #2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-327-6179",
            "fax_number": "512-327-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAMIGLIETTI",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "MS CCCSLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "11398",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "50361",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061352302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "FAMIGLIETTI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.

Verify at the official NPI Registry.