LISA FRATESI IVY (NPI# 1285827493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285827493 |
| Entity Type | Individual |
| Full Name | LISA FRATESI IVY |
| Credential | M.S., CCC/SLP |
| Practice Address |
206 George Hall, Rebel Drive University MS 38677-8800 |
| Practice Telephone | 6629155291 |
| Practice Fax Number | 6629157263 |
| Mailing Telephone | 6629155291 |
| Mailing Fax Number | 6629157263 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2012-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | S2411 | MS | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03275793 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073837670 | Lisa Ivy | Contractor | 450 El Dorado Blvd, # 720, Webster, TX 77598-2317 | 2010-03-25 |
| 1669081188 | Lisa Faye Ivy | Speech-Language Pathologist | 1560 Mayflower Ave, Bronx, NY 10461-5400 | 2020-07-30 |
| 1033103296 | Lisa M Ivy | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3714 | 2005-09-02 |
| Street Address |
206 GEORGE HALL, REBEL DRIVE |
| City | UNIVERSITY |
| State | MS |
| Zip Code | 38677-8800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164049102 | Catherine Meredith Pendergast | Specialist/Technologist | 36 Hill Dr., University, MS 38677 | 2020-06-25 |
| 1245883339 | Laura J Dixon | Psychologist | 382 Kinard Hall, Psychological Services Center, University, MS 38677 | 2019-07-18 |
| 1710549795 | Ronald Corbit Franks Jr. | Specialist/Technologist | 972 Hathorn Rd, University, MS 38677 | 2019-07-01 |
| 1073083945 | Daniel Locke Deason | Psychologist | 320 Lester Hall, University, MS 38677 | 2018-12-04 |
| 1831632876 | Brittany Ferrell | Specialist/Technologist | 836 All-american Dr, Starnes Athletic Training Room, University, MS 38677 | 2016-11-23 |
| 1659729127 | Joshua Magruder | Counselor | 850 Insight Park, Ste. 163 A, University, MS 38677 | 2016-05-25 |
| 1689055972 | Carol Anne Langendoen | Social Worker | 850 Insight Park Suite 163a, University, MS 38677 | 2015-06-12 |
| 1841670791 | Britney Elise Woodhull-smith | Specialist/Technologist | 836 All-american Drive, Starnes Athletic Training Room, Oxford, MS 38677 | 2015-06-05 |
| 1841687076 | Melanie Lynn | Specialist/Technologist | 836 All-american Dr., University, MS 38677 | 2015-04-27 |
| 1871901066 | University Mississippi Nutrition Clinic | Clinic/Center | 100 Lenoir Hall, Sorority Row, University, MS 38677 | 2014-07-31 |
| Find all providers in zip 38677 | ||||
| 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 |
|---|---|---|---|---|
| 1659648137 | Carolyn W Higdon | Speech-Language Pathologist | 308 George Hall Rebel Drive, University, MS 38677 | 2011-11-28 |
| 1508065483 | Christy Coker | Speech-Language Pathologist | 307 George Hall, Rebel Drive, University, MS 38677-8800 | 2007-07-12 |
| 1437356805 | Rosalie Garner | Speech-Language Pathologist | 100 George Hall Rebel Drive, University, MS 38677-1848 | 2007-06-29 |
| 1497952287 | Lindsay Mcmillan Powers | Speech-Language Pathologist | 100 George Hall Rebel Dr, University, MS 38677 | 2007-06-27 |
| 1780880674 | Stephanie H. Stevens | Speech-Language Pathologist | 100 Rebel Drive, University, MS 38677 | 2007-06-26 |
| 1992841092 | Bradley Thomas Crowe | Speech-Language Pathologist | 304 George Hall, Rebel Drive, University, MS 38677-8800 | 2007-01-29 |
| 1093903106 | Gina Keene | Speech-Language Pathologist | 100 George Hall Rebel Drive, University, MS 38677 | 2007-10-15 |
| 1619175072 | Greg Snyder | Speech-Language Pathologist | 100 George Hall Rebel Drive, University, MS 38677 | 2007-07-06 |
| 1144427519 | Amanda Tredway Devera | Speech-Language Pathologist | 100 George Hall Rebel Drive, University, MS 38677 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766928 | Delaynee Marchant | Speech-Language Pathologist | 2105 Country Club Rd, Grenada, MS 38901-4834 | 2020-10-08 |
| 1750996401 | Shelby Bourgeois | Speech-Language Pathologist | 108 Heron Park Pl, Ocean Springs, MS 39564 | 2020-09-10 |
| 1578176202 | Kaylan Williams | Speech-Language Pathologist | 643 Westbrook Rd, Courtland, MS 38620-9458 | 2020-08-24 |
| 1942813647 | Allie Reid | Speech-Language Pathologist | 160 E Franklin St, Natchez, MS 39120-3610 | 2020-08-24 |
| 1780296525 | Moore Speech Therapy, LLC | Speech-Language Pathologist | 3688 Flat Rock Dr, Hernando, MS 38632-4445 | 2020-08-22 |
| 1255940615 | Bernude Jesucat | Speech-Language Pathologist | 1024 Us-61, Tunica, MS 38676 | 2020-07-30 |
| 1629686126 | Ann Turner Troutt | Speech-Language Pathologist | 1751 Dancy Blvd Ste 2, Horn Lake, MS 38637-1916 | 2020-07-21 |
| 1235757949 | Claiborne Brooke White | Speech-Language Pathologist | 27190 Ms-28, Hazlehurst, MS 39083 | 2020-07-09 |
| 1831717446 | Misty Michelle Moore | Speech-Language Pathologist | 6444 Highway 43 S, Kosciusko, MS 39090-9459 | 2020-07-09 |
| 1467070334 | Language Lounge LLC | Speech-Language Pathologist | 2053 Barto Leggett Rd, Mccomb, MS 39648-9327 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
| City | UNIVERSITY |
| Zip Code | 38677 |
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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.