Individual provider Active NPI

Lisa Shantell Dunston-Howard, SLPA

  • Speech-Language Assistant
  • Raleigh, NC
National Provider Identifier
1720272883
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
0144 Issued in NC
Practice address
10704 Debmoor PL Ste 200
Raleigh, NC 27614-7018
Phone
(919) 478-9974
Fax
(888) 354-2009
NPI assigned
Aug 31, 2007
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 0144 NC Primary

Addresses

Primary practice location

10704 Debmoor PL Ste 200
Raleigh, NC 27614-7018

Mailing address

PO Box 97051
Raleigh, NC 27624-7051
Phone (919) 478-9974

Other names 1

  • Lisa Shantell Dunston Former name

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

State licenses

LicenseStateTypeSpecialty
0144NCMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Interseed N Grow Speech-Language Assistant CurrentSince Apr 6, 2021 Accepting new patients
Spoken-4 Communications, LLC Speech-Language Assistant 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1720272883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97051",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276247051",
            "telephone_number": "919-478-9974",
            "fax_number": "888-354-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10704 DEBMOOR PL STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147018",
            "telephone_number": "919-478-9974",
            "fax_number": "888-354-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNSTON-HOWARD",
        "first_name": "LISA",
        "middle_name": "SHANTELL",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NC",
            "license": "0144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "DUNSTON",
            "middle_name": "SHANTELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.