Active NPI
Lisette Cassettari, M.S., CCC-SLP
- Speech-Language Pathologist
- Palm Beach Gardens, FL
National Provider Identifier
1770060758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA15269
- Practice address
- 3450 Northlake Blvd Ste 203
Palm Beach Gardens, FL 33403-1711 - Phone
- (561) 842-8996
- NPI assigned
- Jul 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | SA15269 | FL | Primary |
Addresses
Primary practice location
3450 Northlake Blvd Ste 203
Palm Beach Gardens, FL 33403-1711
Mailing address
921 Paseo Palmera
West Palm Beach, FL 33405-2057
Phone (561) 779-1009
Other names 1
- Lisette Lopez
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA15269 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheryl Rosin PHD, LLC | Past | Accepting new patients |
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.
-
- Hearing and Speech Clinic/Center
- Palm Beach Gardens, FL
- NPI 1295212264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1770060758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 PASEO PALMERA",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334052057",
"telephone_number": "561-779-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 NORTHLAKE BLVD STE 203",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334031711",
"telephone_number": "561-842-8996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSETTARI",
"first_name": "LISETTE",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-23",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA15269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISETTE",
"last_name": "LOPEZ",
"credential": "M.S.,CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.