Lisa Izenwasser, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 5221 Issued in FL

Practice address

7200 Griffin Rd
Suite 3
Davie, FL 33314-4144

Phone

(954) 791-4460

Fax

(954) 791-7670

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217116800000",
    "number": "1871682492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 LANSING AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330264929",
            "telephone_number": "954-325-2515",
            "fax_number": "440-965-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 GRIFFIN RD",
            "address_2": "SUITE 3",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144144",
            "telephone_number": "954-791-4460",
            "fax_number": "954-791-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZENWASSER",
        "first_name": "LISA",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 5221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886587600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myriamme Ismael
• Saiqa I Ismail I, M.D.
• Jennie Ison, MD
• Lailah Issac, DO
• Ivanhoe Alf Inc
• J & G Medical Associates PA
• Reza Jabbary
• Zamzam Jaber
• Jackson Hospital
• Carolyn Jackson, M.S., RDN, LDN

• Speech-Language Pathologist in Davie, FL
• Providers in Davie, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2008; 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.