Lisa Anderson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2012008523 Issued in NE

Practice address

41750 Carthage Rd
Ravenna, NE 68869-4051

Phone

(308) 452-3202

NPI assigned

Sep 24, 2015

Sex

Female

Sole proprietor

Yes

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

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.

• Educational Service Unit 10

  • Local Education Agency (LEA)
  • Kearney, NE
  • NPI 1386386738
  NPD (past)
• Ravenna Public School

  • Local Education Agency (LEA)
  • Ravenna, NE
  • NPI 1841910031
  NPD (past)

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1780053371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688480850",
            "telephone_number": "308-237-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41750 CARTHAGE RD",
            "city": "RAVENNA",
            "state": "NE",
            "postal_code": "688694051",
            "telephone_number": "308-452-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "2012008523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Denni Barry, LMT
• McKenzie Elyse Hoehn Bohling
• Hilary Bolling
• Mary Jo Busch
• City of Ravenna

• Speech-Language Pathologist in Ravenna, NE
• Providers in Ravenna, NE by specialty
• Speech-Language Pathologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.