MRS. LISA CORRINE PETERSON-ROBERTS (NPI# 1639413438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639413438 |
| Entity Type | Individual |
| Full Name | MRS. LISA CORRINE PETERSON-ROBERTS |
| Credential | SLPA |
| Practice Address |
2715 Lilac St Longview WA 98632-3526 |
| Mailing Address |
120 Penny Lane Kelso WA 98626-1881 |
| Practice Telephone | 3605757500 |
| Mailing Telephone | 3604304919 |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-11-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
Speech, Language and Hearing Service Providers |
| Street Address |
2715 LILAC ST |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-3526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235488677 | Rebecca Sue Baumgardner | Occupational Therapist | 2715 Lilac St, Longview, WA 98632-3526 | 2012-08-30 |
| 1841840204 | Sarah Vest | Speech-Language Pathologist | 2715 Lilac St, Longview, WA 98632-3526 | 2019-09-18 |
| 1386110898 | Emily Torman | Speech-Language Pathologist | 2715 Lilac St, Longview, WA 98632-3526 | 2018-10-23 |
| 1154835916 | Shawna Olson | Registered Nurse | 2715 Lilac St, Longview, WA 98632-3526 | 2017-11-30 |
| 1528572476 | Sofya Okronglo | Registered Nurse | 2715 Lilac St, Longview, WA 98632-3526 | 2017-11-29 |
| 1437663903 | Stacy Ann Hutton | Registered Nurse | 2715 Lilac St, Longview, WA 98632-3526 | 2017-11-20 |
| 1932634391 | Mary Jeanne Berryman | Psychologist | 2715 Lilac St, Longview, WA 98632-3526 | 2017-04-24 |
| 1780119313 | Whitney Marie Smith | Licensed Practical Nurse | 2715 Lilac St, Longview, WA 98632-3526 | 2017-04-20 |
| 1598299836 | Stephanie Toms | Registered Nurse | 2715 Lilac St, Longview, WA 98632-3526 | 2017-04-13 |
| 1861926115 | Kylee Lamb | Licensed Practical Nurse | 2715 Lilac St, Longview, WA 98632-3526 | 2017-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160602 | Alexis Scoggin | Specialist/Technologist | 1908 Warwick Cir W, Longview, TX 75601-3139 | 2020-10-01 |
| 1477110021 | Lindsey Kathleen Burton | Specialist/Technologist | 1011 W Loop 281 Ste 1, Longview, TX 75604-2932 | 2019-05-20 |
| 1457831521 | Aimee Rebecca Williams-wilbanks | Specialist/Technologist | 303 W Loop 281 # 281-170, Longview, TX 75605-4470 | 2018-08-17 |
| 1780162271 | Sandra L Murry | Specialist/Technologist | 4015 Graystone Rd, Longview, TX 75605-2703 | 2018-08-06 |
| 1285145839 | Maria Tran | Specialist/Technologist | 16 Covington Dr, Longview, TX 75602-1071 | 2017-10-21 |
| 1174867261 | Virginia Inez Knoles | Specialist/Technologist | 2210 Olympia Way, Longview, WA 98632-4505 | 2012-11-15 |
| 1376897751 | Judy Jabusch | Specialist/Technologist | 4622 Ohio St, Longview, WA 98632-5131 | 2012-11-06 |
| 1962756338 | Betsy Ann Roth | Specialist/Technologist | 132 Sunset Dr, Longview, WA 98632-5387 | 2012-11-06 |
| 1912486481 | Laney Beyer | Specialist/Technologist | 4015 Graystone Rd, Longview, TX 75605-2703 | 2018-08-07 |
| 1609122647 | Simone Carr | Specialist/Technologist | 450 E. Loop 281, Suite B1, Longview, TX 75601 | 2012-07-27 |
| Find all providers in LONGVIEW | ||||
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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.