NPIMap

Organization Active NPI

Lisa Sisneros Brow, Speech-Language Pathologist, LLC

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1881751337
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
277 Issued in NM
Legal business name
LISA SISNEROS BROW, SPEECH-LANGUAGE PATHOLOGIST, LLC
Practice address
11306 Richfield Ave NE
Albuquerque, NM 87122-4188
Phone
(505) 797-1952
Fax
(505) 797-1952
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lisa Sisneros Brow, M.S. CC-SLPNPI 1356307342
Title
Speech-Language Pathologist
Phone
(505) 797-1952

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 277 NM Primary

Addresses

Primary practice location

11306 Richfield Ave NE
Albuquerque, NM 87122-4188

Mailing address

11306 Richfield Ave NE
Albuquerque, NM 87122-4188
Phone (505) 797-1952

Other identifiers 3

IdentifierTypeStateIssuer
69325316MedicaidNM
E114OtherNMBLUE CROSS BLUE SHIELD
D0997OtherNMMEDICAID WAIVER

National Provider Directory

National Provider Directory

Locations

1209 Mountain Road Pl NE
Ste D
Albuquerque, NM 87110

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881751337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11306 RICHFIELD AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871224188",
            "telephone_number": "505-797-1952",
            "fax_number": "505-797-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11306 RICHFIELD AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871224188",
            "telephone_number": "505-797-1952",
            "fax_number": "505-797-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA SISNEROS BROW, SPEECH-LANGUAGE PATHOLOGIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROW",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "SISNEROS",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "505-797-1952",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S. CC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69325316",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "E114",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "D0997",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.