LISA FANNIN (NPI# 1003112871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003112871 |
Entity Type | Individual |
Full Name | LISA FANNIN |
Credential | M.S.,CCC-SLP |
Practice Address |
728 Nancy Dr Ripon CA 95366-3310 |
Practice Telephone | 2097655057 |
Mailing Telephone | 2097655057 |
Enumeration Date | 2011-01-26 |
Last Update Date | 2016-02-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | SP 13292 | CA | Speech, Language and Hearing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346850245 | Lisa Fannin | Technician | 79 Andover Ln, Charleston, WV 25320-7770 | 2020-08-05 |
1558806281 | Lisa Fannin | Speech-Language Pathologist | 325 Colony Rd, Newport News, VA 23602-6342 | 2017-01-04 |
1154884179 | Lisa Fannin | Social Worker | 750 E Long St Ste 3000, Columbus, OH 43203-1874 | 2019-04-08 |
Street Address |
728 NANCY DR |
City | RIPON |
State | CA |
Zip Code | 95366-3310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205452315 | Affection Healthcare LLC | Clinic/Center | 1641 North Ripon Road, Ripon, CA 95366 | 2020-06-24 |
1760036305 | Llanell Vararaj Dental Inc | Clinic/Center | 102 South Walnut Avenue, Rippon, CA 95366 | 2019-08-01 |
1003322199 | Janice Huggins Valdez | Counselor | 903 Sixth St, Ripon, CA 95366 | 2017-12-27 |
1154590479 | Aaron D Long | Physician Assistant | 150 Vera Avenue, Ripon, CA 95366 | 2008-02-21 |
1598800484 | Save Mart Supermarkets | Pharmacy | 1453 Goodwin Dr, Ripon, CA 95366 | 2007-02-20 |
1922250158 | Bhrs | Community/Behavioral Health | 1550 W Main St, Ripon, CA 95366 | 2008-10-21 |
1144478801 | Kenneth D Bowman | Physician Assistant | 150 Vera Avenue, Ripon, CA 95366 | 2008-09-05 |
1598934812 | Travis L Wolf | Physician Assistant | 150 Vera Ave, Ripon, CA 95366 | 2008-02-21 |
1497198618 | Linda Vermeulen | Counselor | 1271 Spring Creek Dr, Ripon, CA 95366-2231 | 2013-04-08 |
1285247445 | Donald Vertrees | Physician Assistant | 904 Opal Ln, Ripon, CA 95366-2256 | 2020-08-27 |
Find all providers in zip 95366 |
Taxonomy Code | 235Z00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Speech-Language Pathologist |
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104427459 | Leigh Marian Pearce | Speech-Language Pathologist | 1208 Peninsula Dr, Chico, CA 95928-3827 | 2020-11-03 |
1225638844 | Nicci Michele Grayson | Speech-Language Pathologist | 2653 E Glenoaks Blvd, Glendale, CA 91206-3108 | 2020-11-01 |
1992305544 | Katrina Schickenberg | Speech-Language Pathologist | 715 Emeline Ave, Santa Cruz, CA 95060-1911 | 2020-10-31 |
1780284539 | Annalissa Ramos-garcia | Speech-Language Pathologist | 2575 33rd St Apt 4, Sacramento, CA 95817-1941 | 2020-10-30 |
1770183626 | Dina Kamionski | Speech-Language Pathologist | 10592 Wilkins Ave, Los Angeles, CA 90024-6033 | 2020-10-29 |
1932709953 | Lera A Chernov | Speech-Language Pathologist | 4243 Bonita Rd Apt 60, Bonita, CA 91902-1441 | 2020-10-28 |
1689274979 | Carolyn Lamar Maxwell | Speech-Language Pathologist | 2660 Oswell St Ste 121, Bakersfield, CA 93306-3154 | 2020-10-27 |
1407455330 | Tyonie Patterson | Speech-Language Pathologist | 7845 Stewart and Gray Rd Apt 12, Downey, CA 90241-4771 | 2020-10-21 |
1144829433 | Anne Mathew | Speech-Language Pathologist | 2262 N 1st St, San Jose, CA 95131-2022 | 2020-10-19 |
1972102259 | Cinthia Yong-joo Do | Speech-Language Pathologist | 6670 Alton Pkwy Bldg 1, Irvine, CA 92618-3734 | 2020-10-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.