Individual provider Active NPI

Lisa Scott, SLP

  • Speech-Language Pathologist
  • Chickasha, OK
National Provider Identifier
1952753295
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4588 Issued in OK
Practice address
1211 S 29TH St
Chickasha, OK 73018
Phone
(405) 224-0002
Fax
(405) 224-0133
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4588 OK Primary

Addresses

Primary practice location

1211 S 29TH St
Chickasha, OK 73018

Mailing address

1211 S 29TH St
Chickasha, OK 73018-9651
Phone (405) 224-0002

Other practice location 1

12880 NE 10th St
Choctaw, OK 73020-8129
Phone (405) 769-8389

Other names 1

  • Lisa Fruit Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4588OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Choctaw-Nicoma Park Schools Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1952753295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S 29TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730189651",
            "telephone_number": "405-224-0002",
            "fax_number": "405-224-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S 29TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "73018",
            "telephone_number": "405-224-0002",
            "fax_number": "405-224-0133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12880 NE 10th St",
            "address_purpose": "LOCATION",
            "city": "Choctaw",
            "state": "OK",
            "postal_code": "730208129",
            "country_code": "US",
            "telephone_number": "405-769-8389",
            "fax_number": "405-769-9821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "LISA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "FRUIT",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chickasha, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.