Individual provider Active NPI

Lisa Antoinette Dyke-Hill, MS-CCC-SLP

  • Speech-Language Pathologist
  • Parkland, FL
National Provider Identifier
1790011807
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA8078 Issued in FL
Practice address
5957 NW 79TH Way
Parkland, FL 33067-1116
Phone
(954) 931-6011
NPI assigned
Oct 23, 2009
Last updated
Oct 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA8078 FL Primary

Addresses

Primary practice location

5957 NW 79TH Way
Parkland, FL 33067-1116

Mailing address

5957 NW 79TH Way
Parkland, FL 33067-1116
Phone (954) 931-6011

Other identifiers 1

IdentifierTypeStateIssuer
205398932OtherFLIRS

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Speech-Language Pathology for Pediatrics & Geriatrics, Inc. Speech-Language Pathologist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256256000000",
    "number": "1790011807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5957 NW 79TH WAY",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330671116",
            "telephone_number": "954-931-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5957 NW 79TH WAY",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330671116",
            "telephone_number": "954-931-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKE-HILL",
        "first_name": "LISA",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Mrs.",
        "credential": "MS-CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "205398932",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.