Lisa Marie Crane, CCC/M.A. SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146003459 Issued in IL

Practice address

2803 Heritage Dr
Champaign, IL 61822-7384

Phone

(217) 649-6593

Fax

(833) 520-5082

NPI assigned

Sep 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Crane Feeding and Speech LLC

  • Speech-Language Pathologist
  • Champaign, IL
  • NPI 1912657339
  NPD Authorized official

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1861687865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 HERITAGE DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618227384",
            "telephone_number": "217-649-6593",
            "fax_number": "833-520-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 HERITAGE DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618227384",
            "telephone_number": "217-649-6593",
            "fax_number": "833-520-5082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 S Oak St",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "618200906",
            "country_code": "US",
            "telephone_number": "217-333-2205",
            "fax_number": "217-333-2206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRANE",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CCC/M.A. SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146003459",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101006976",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth A. Craddock, M.D.
• Alyssa Jade Craft, B.S.
• Henry Ryan Craft
• Deborah Crandall
• Crane Feeding and Speech LLC
• Brian Burnett Crawford, DC
• Chante Crawford, RBT
• Kiya M Crawford
• Creative Solutions, Pamela Wendt Counseling Inc.
• Taylor Cribbett

• Speech-Language Pathologist in Champaign, IL
• Providers in Champaign, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.