MRS. LISA RENEE BANUELOS-MARTIN (NPI# 1962738112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962738112 |
| Entity Type | Individual |
| Full Name | MRS. LISA RENEE BANUELOS-MARTIN |
| Credential | MA CCC-SLP |
| Practice Address |
601 Robin Ln Livingston MT 59047-3810 |
| Mailing Address |
504 S 13th St Livingston MT 59047-3727 |
| Practice Telephone | 4062227231 |
| Practice Fax Number | 4062222435 |
| Mailing Telephone | 4062223541 |
| Mailing Fax Number | 4068236287 |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2014-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 1225 | MT | Speech, Language and Hearing Service Providers |
| Street Address |
601 ROBIN LN |
| City | LIVINGSTON |
| State | MT |
| Zip Code | 59047-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508920810 | Beverly Waldeisen | Occupational Therapist | 601 Robin Ln, Livingston, MT 59047-3810 | 2006-12-20 |
| 1760801831 | Dana Allen | Occupational Therapist | 601 Robin Ln, Livingston, MT 59047-3810 | 2014-04-15 |
| 1679906317 | Andrea Price | Physical Therapist | 601 Robin Ln, Livingston, MT 59047-3810 | 2013-08-16 |
| 1831522572 | Angela Rogers | Physical Therapy Assistant | 601 Robin Ln, Livingston, MT 59047-3810 | 2013-08-16 |
| 1134552862 | Carrie Brewster | Occupational Therapist | 601 Robin Ln, Livingston, MT 59047-3810 | 2013-08-16 |
| 1326471053 | Marci Breitbach | Physical Therapy Assistant | 601 Robin Ln, Livingston, MT 59047-3810 | 2013-08-16 |
| 1578855987 | Chad W Yoakam | Physical Therapist | 601 Robin Ln, Livingston, MT 59047-3810 | 2011-05-04 |
| 1235364621 | Pixie Marie Lewis-burda | Occupational Therapy Assistant | 601 Robin Ln, Livingston, MT 59047-3810 | 2009-05-28 |
| 1174781652 | Melissa Yoakam | Occupational Therapist | 601 Robin Ln, Livingston, MT 59047-3810 | 2008-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013578343 | Sara Gentry | Social Worker | 126 East Callendar Suite 5, Livingston, MT 59047 | 2019-06-26 |
| 1972099752 | Lisa Talcott LLC | Social Worker | 410 S. 11th St, Livingston, MT 59047 | 2018-07-05 |
| 1326535071 | Christine Evelyn May | Counselor | 320 N Main St Ste 2, Livingston, MT 59047 | 2018-04-18 |
| 1033617469 | Lisa Talcott | Social Worker | 410 S. 11th St., Livingston, MT 59047 | 2018-01-31 |
| 1821492125 | Kim Salloux Lac | Preferred Provider Organization | 109 W Callender Suite 2e, Livingston, MT 59047 | 2014-10-15 |
| 1043657752 | Jamie Lynn Van Zee | Speech-Language Pathologist | 80 West Pine Creek, Livingston, MT 59047 | 2013-06-04 |
| 1598051039 | Emma Taylor Neal | Occupational Therapist | 608 E Milky Way Dr, Livingston, MT 59047 | 2011-06-23 |
| 1063715985 | Jacqueline K Isaly | Counselor | 430 E Park, Livingston, MT 59047 | 2010-12-15 |
| 1063665768 | Danny F. Neill | Hearing Instrument Specialist | 615 W. Park St., Livingston, MT 59047 | 2008-10-28 |
| 1093971376 | Kevin Graham Scott | Dentist | 422 South Main Street, Livingston, MT 59047 | 2008-08-05 |
| Find all providers in zip 59047 | ||||
| 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 |
|---|---|---|---|---|
| 1568069953 | Brittany Comeaux | Speech-Language Pathologist | 29849 S Magnolia St, Livingston, LA 70754 | 2020-10-08 |
| 1760095517 | Jessica Kleinman | Speech-Language Pathologist | 14 Westgate Rd, Livingston, NJ 07039-2628 | 2020-08-30 |
| 1740805811 | Brigitte Vaysman | Speech-Language Pathologist | 52 Stonewall Dr, Livingston, NJ 07039-1839 | 2020-06-14 |
| 1134690738 | Lisa Ann Serviss | Speech-Language Pathologist | 43 Cobblewood Rd, Livingston, NJ 07039-2019 | 2018-12-09 |
| 1114497369 | Pamela Block | Speech-Language Pathologist | 12 Cherry Hill Rd, Livingston, NJ 07039-2404 | 2018-11-30 |
| 1568967396 | Kimberly Ann Myers | Speech-Language Pathologist | 114 Ponderosa Ln Apt 1, Livingston, TX 77351-6067 | 2018-03-25 |
| 1326552555 | Francesca Lucia Laracca | Speech-Language Pathologist | 85 Mounthaven Dr, Livingston, NJ 07039-2740 | 2017-11-27 |
| 1790295533 | School District #75 | Speech-Language Pathologist | 1489 E River Rd, Livingston, MT 59047-8718 | 2017-10-06 |
| 1326561788 | Erin Larson | Speech-Language Pathologist | 28975 S Satsuma Rd Ste F, Livingston, LA 70754-2185 | 2017-07-18 |
| 1821537028 | Melanie Wilkie Queen | Speech-Language Pathologist | 306 South Washington Street, Livingston, AL 35470 | 2017-02-21 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 59047 |
Please comment or provide details below to improve the information on MRS. LISA RENEE BANUELOS-MARTIN.
| 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.