Individual provider Active NPI

Lisa A Rollin

  • Speech-Language Pathologist
  • Amarillo, TX
National Provider Identifier
1932500618
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
113863 Issued in TX
Practice address
720 S Tyler St Ste 350J
Amarillo, TX 79101-2313
Phone
(806) 651-5101
NPI assigned
Sep 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP2021 AZ
Speech-Language Pathologist 235Z00000X 113863 TX Primary

Addresses

Primary practice location

720 S Tyler St Ste 350J
Amarillo, TX 79101-2313

Mailing address

720 S Tyler St Ste 350J
Amarillo, TX 79101-2313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP2021AZMDSpeech-Language Pathologist
113863TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas a & M University CurrentSince Sep 1, 2017 Accepting new patients
West Texas a&M University CurrentSince Sep 1, 2017 Accepting new patients

Locations

720 S Tyler St
Ste 350J
Amarillo, TX 79101
Phone (806) 651-5101

720 S Tyler St
Amarillo, TX 79101
Phone (806) 651-5101

2501 4th Ave
Canyon, TX 79016
Phone (806) 651-5101

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1932500618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S TYLER ST STE 350J",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791012313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S TYLER ST STE 350J",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791012313",
            "telephone_number": "806-651-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLIN",
        "first_name": "LISA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP2021",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.