Lisa Cunningham, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA2740 Issued in FL

Practice address

6398 South West State Road 121
Lake Butler, FL 32054

Phone

(386) 496-3914

NPI assigned

Jul 7, 2010

Last updated

Jul 7, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1891007860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "city": "WORTHINGTON SPRINGS",
            "state": "FL",
            "postal_code": "326970065",
            "telephone_number": "386-496-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6398 SOUTH WEST STATE ROAD 121",
            "city": "LAKE BUTLER",
            "state": "FL",
            "postal_code": "32054",
            "telephone_number": "386-496-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "LISA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-07",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA2740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cccnf - Lake Butler, LLC
• Kelly Melinda Chewning, ARNP
• Susan Child, LMHC
• Bailey Clark, COTA/L
• Kelly Darlene Clark, DC
• Patrick Cunningham, BUILDING CONTRACTOR
• Carolyn L Deloache, MSN ARNP
• District School Board of Union County
• Karl Hudson Dupont
• Carl P. Eason, M.D.

• Speech-Language Pathologist in Lake Butler, FL
• Providers in Lake Butler, 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 7, 2010; 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.