Active NPI
Lisa Wynn Pool, M.A.
- Audiologist
- Fort Mill, SC
National Provider Identifier
1790023075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 3037
- Practice address
- 139 Lake Point Dr
Fort Mill, SC 29708-7870 - Phone
- (803) 367-3571
- NPI assigned
- Jan 22, 2013
- Last updated
- Jan 22, 2013
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 3037 | SC | Primary |
Addresses
Primary practice location
139 Lake Point Dr
Fort Mill, SC 29708-7870
Mailing address
139 Lake Point Dr
Fort Mill, SC 29708-7870
Phone (803) 367-3571
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LTC Therapy Solutions 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, 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": "1358812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358812800000",
"number": "1790023075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 LAKE POINT DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087870",
"telephone_number": "803-367-3571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 LAKE POINT DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087870",
"telephone_number": "803-367-3571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOL",
"first_name": "LISA",
"middle_name": "WYNN",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-22",
"last_updated": "2013-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": "3037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mill, SC
- Danielle Poehlman, LMHC
- Jennifer Lynne Poirier, DPT
- Ponce Services LLC (Healing Roots Counseling and Coaching)
- Steven Treatt Ponce Jr., LPC, LCMHC
- Stephanie Pons, COTA/L
- Brian Owen Pope, MD
- Positive Therapeutic Concepts, LLC
- Chelsea West Prevette, CCC-SLP
- Christian Prewitt-Rodriguez, RBT
- Autumn Price
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.