Active NPI
Lisa Nicole Morris, CCC-SLP
- Speech-Language Pathologist
- Broken Arrow, OK
National Provider Identifier
1720360027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3814
- Practice address
- 405 E Richmond
Broken Arrow, OK 74012 - Phone
- (918) 259-4450
- Fax
- (918) 251-8553
- NPI assigned
- Sep 13, 2011
- Last updated
- Oct 22, 2018
- 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 | 3814 | OK | Primary |
Addresses
Primary practice location
405 E Richmond
Broken Arrow, OK 74012
Mailing address
701 S. Main Street
Broken Arrow, OK 74012
Phone (918) 259-5700
Other names 1
- Ms. Lisa Nicole Beecroft
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3814 | OK | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540166400000",
"number": "1720360027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 S. MAIN STREET",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "74012",
"telephone_number": "918-259-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 E RICHMOND",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "74012",
"telephone_number": "918-259-4450",
"fax_number": "918-251-8553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "LISA",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-13",
"last_updated": "2018-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "3814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "BEECROFT",
"middle_name": "NICOLE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.