Lisa Michelle Davis, MCD-SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4063 Issued in SC

Practice address

118 Scotts Bluff Dr
Simpsonville, SC 29681

Phone

(864) 561-5838

Fax

(855) 849-5178

NPI assigned

May 18, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Talking Toddlers LLC

  • Speech-Language Pathologist
  • Simpsonville, SC
  • NPI 1487153326
  NPD (past) Authorized official

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1972738185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SCOTTS BLUFF DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296818011",
            "telephone_number": "864-561-5838",
            "fax_number": "855-849-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SCOTTS BLUFF DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "29681",
            "telephone_number": "864-561-5838",
            "fax_number": "855-849-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MCD-SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA1007",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Ann Hayes David, MD
• Kayla Lesley Davidson, RPH
• Timi Davie
• Brian Davis
• Elizabeth Davis
• Zion Nazariah Davis
• Andre Dawkins
• Zachary Kevin Dawkins, LISW-CP
• Crystal Dawson
• Stacey Michelle De Young

• Speech-Language Pathologist in Simpsonville, SC
• Providers in Simpsonville, 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 Jun 13, 2018; 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.