Organization Active NPI

Lisa O'Connor, Inc.

  • Speech-Language Pathologist
  • Raleigh, NC
National Provider Identifier
1750584488
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2622 Issued in NC
Legal business name
LISA O'CONNOR, INC.
Practice address
6308 Therfield Dr
Raleigh, NC 27614-7130
Phone
(919) 870-1355
NPI assigned
Jun 8, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Authorized official

Name
Elisabeth Oconnor, MS, CCC-SLPNPI 1912100645
Title
President
Phone
(919) 870-1355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2622 NC Primary

Addresses

Primary practice location

6308 Therfield Dr
Raleigh, NC 27614-7130

Mailing address

6308 Therfield Dr
Raleigh, NC 27614-7130
Phone (919) 870-1355

Other identifiers 1

IdentifierTypeStateIssuer
7202690MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1183939200000",
    "number": "1750584488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 THERFIELD DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147130",
            "telephone_number": "919-870-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 THERFIELD DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147130",
            "telephone_number": "919-870-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA O'CONNOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-07-09",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-870-1355",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "2622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7202690",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 9, 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.