Lisa M Reeves, MSP CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3446 Issued in SC

Practice address

1004 Wildwood Rd
Aiken, SC 29801-3076

Phone

(803) 443-8532

NPI assigned

Dec 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Lisa M Pardue Former name

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1932262425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 WILDWOOD RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013076",
            "telephone_number": "803-443-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 WILDWOOD RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013076",
            "telephone_number": "803-443-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSP CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005773",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "814456023A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "814456023A",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PARDUE",
            "middle_name": "M",
            "credential": "MSP CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Elizabeth Redd, RN
• Catherine Reddish, MBA, BSHA, GA, CEU
• Kristi Elaine Redmond, M.S.P., C.C.C./SLP
• Anna Reed, MA SLP
• Kayla C Reeve, LMSW
• Lorraine Rega
• Regency Hospice of Georgia, LLC
• Regency Hospice of Georgia, LLC
• Mia Yewvette Reid, PHARMD
• Lauren Reigot, PT, DPT

• Speech-Language Pathologist in Aiken, SC
• Providers in Aiken, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.