MS. LISA BUTCHER SHEPPARD (NPI# 1932622925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932622925 |
| Entity Type | Individual |
| Full Name | MS. LISA BUTCHER SHEPPARD |
| Credential | M. ED., CCC-SLP |
| Practice Address |
2119 10th Ave N Lake Worth FL 33461-3345 |
| Mailing Address |
1660 Renaissance Commons Blvd Apt 2501 Boynton Beach FL 33426-7226 |
| Practice Telephone | 5616286882 |
| Mailing Telephone | 5613898757 |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2017-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA4200 | FL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | SPEECH LANGUAGE PATHOLOGIST LICENSE | SA4200 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861022105 | Lisa Marie Sheppard | Nurse's Aide | 12027 157th Street Ct E, Puyallup, WA 98374-9303 | 2020-01-24 |
| Street Address |
2119 10TH AVE N |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33461-3345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134593429 | Advanced Children's Therapy, Inc. | Clinic/Center | 2119 10th Ave N, Lake Worth, FL 33461-3345 | 2015-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167993 | Pcc Medical Holdings LLC | Health Maintenance Organization | 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 | 2019-11-05 |
| 1841849692 | Five Star Medical Group Inc | Clinic/Center | 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 | 2019-09-04 |
| 1346894375 | Patrick Pierre Jr. | Behavioral Analyst | 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 | 2019-07-29 |
| 1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
| 1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
| 1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
| 1972028447 | Annette Daley | Behavior Technician | 3595 2nd Ave North, Palm Springs, FL 33461 | 2017-08-07 |
| 1104349471 | Safe At Home Health Care, LLC | In Home Supportive Care | 555 Purdy Ln. #215, Palm Springs, FL 33461 | 2017-07-19 |
| 1609307271 | Yadira Perera | Assistant Behavior Analyst | 500 Davis Rd 42a, Palm Springs, FL 33461 | 2017-03-24 |
| 1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
| Find all providers in zip 33461 | ||||
| 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 |
|---|---|---|---|---|
| 1083186209 | Joan Leslie Clark | Speech-Language Pathologist | 3898 Via Poinciana Ste 17, Lake Worth, FL 33467-2951 | 2018-12-28 |
| 1861962169 | Chanel Mercedes Morris-stephens | Speech-Language Pathologist | 5635 Green Island Blvd, Lake Worth, FL 33463-7352 | 2018-11-29 |
| 1427537372 | Dorothy Carol Rose Smith | Speech-Language Pathologist | 6200 Grand Cypress Circle, Lake Worth, FL 33463 | 2018-08-11 |
| 1477052892 | Jodie Tuz | Speech-Language Pathologist | 6664 Ashburn Rd, Lake Worth, FL 33467-7316 | 2018-02-12 |
| 1760924419 | Bella Speech Sensory World and More II Inc | Speech-Language Pathologist | 5905 S State Road 7, Suite B, Lake Worth, FL 33449-5429 | 2016-11-12 |
| 1154795813 | Marla Goren | Speech-Language Pathologist | 5046 Prairie Dunes Village Cir, Lake Worth, FL 33463-8214 | 2015-11-18 |
| 1558767772 | Julissa Gayle Iracheta | Speech-Language Pathologist | 3901 Pueblo Trl, Lake Worth, TX 76135-2872 | 2014-11-16 |
| 1669872511 | Jamie Flood M.s. Ccc-slp P.a | Speech-Language Pathologist | 6614 Jacques Way, Lake Worth, FL 33463-7486 | 2014-08-28 |
| 1588097539 | Anna Cifelli | Speech-Language Pathologist | 4411 Trevi Ct, Apt. 203, Lake Worth, FL 33467-4212 | 2013-08-14 |
| 1730524968 | Dawn Baumgarten | Speech-Language Pathologist | 8480 Lantana Road, Lake Worth, FL 33467 | 2013-05-01 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33461 |
Please comment or provide details below to improve the information on MS. LISA BUTCHER SHEPPARD.
| 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.