Lisa Gole, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

60843446 Issued in WA

Practice address

1951 Beaudry Rd
Yakima, WA 98901-8012

Phone

(509) 573-7600

NPI assigned

Sep 3, 2008

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 Arts

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 and National Provider Directory roles.

• Able 2 Enhancing Potential

  • Multi-Specialty Clinic/Center
  • Elmira, NY
  • NPI 1841308392
  NPD (past)
• The Chautauqua Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Dunkirk, NY
  • NPI 1760747521
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624665600000",
    "number": "1750539748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 BEAUDRY RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989018012",
            "telephone_number": "509-573-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 BEAUDRY RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989018012",
            "telephone_number": "509-573-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLE",
        "first_name": "LISA",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2021-06-26",
        "certification_date": "2021-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "60843446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelida Noemi Godinez Mojica
• Diana A Godinez
• Vince M Godinez, MEDICAL INTERPRETER
• Vonda L Goellner, LMP LICENSE MASSAGE
• Allen E Golden, DC
• Thomas F. Gole, DO
• Tashae Gomez Jones
• Edith Dinorah Gomez
• Elva Gomez
• German Gomez

• Speech-Language Pathologist in Yakima, WA
• Providers in Yakima, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.