LISA VICKERS (NPI# 1396872669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396872669 |
| Entity Type | Individual |
| Full Name | LISA VICKERS |
| Practice Address |
2850 N 24th St Phoenix AZ 85008-1004 |
| Practice Telephone | 6022665976 |
| Practice Fax Number | 6022748952 |
| Mailing Telephone | 6022665976 |
| Mailing Fax Number | 6022748952 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP2071 | AZ | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 144791 | 05 | |
| AZ | BLUE CROSS BLUE SHIELD | AZ0140920 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902084650 | Lisa A. Vickers | Counselor | 3207 S Cherokee Ln, Suite 440, Woodstock, GA 30188-7024 | 2008-02-05 |
| 1851474704 | Lisa A Vickers | Nurse Practitioner | 1450 N 16th Ave Ste 102, Yakima, WA 98902-1381 | 2006-10-23 |
| 1659372050 | Lisa L Vickers | Orthopaedic Surgery | 7575 5 Mile Rd, Cincinnati, OH 45230-4346 | 2005-08-09 |
| Street Address |
2850 N 24TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316975196 | Southwest Human Development | Early Intervention Provider Agency | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2006-06-29 |
| 1265941298 | Southwest Human Development | Early Intervention Provider Agency | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2017-09-21 |
| 1114463890 | Lydia Aurora Roy | Counselor | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2017-01-18 |
| 1982148037 | Aida Cristina Fernandez | Psychologist | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2016-12-08 |
| 1295142008 | Allison Rugg | Physical Therapist | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2014-07-14 |
| 1295145977 | Carlie M Bohrmann | Occupational Therapist | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2014-05-02 |
| 1154754943 | Alyssa L Fagan-clark | Social Worker | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2013-08-15 |
| 1184057101 | Andrea Lynn White | Counselor | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2013-08-13 |
| 1184056632 | Lorena B. Fletcher | Registered Nurse | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2013-08-07 |
| 1043642739 | Suzanne M. Schunk | Social Worker | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2013-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| Find all providers in zip 85008 | ||||
| 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 |
|---|---|---|---|---|
| 1235748369 | Nicole Fountain | Speech-Language Pathologist | 25700 N. 21st Avenue, Phoenix, AZ 85085 | 2020-07-24 |
| 1972137750 | Inspired Therapy LLC | Speech-Language Pathologist | 17606 N 17th Pl Unit 1079, Phoenix, AZ 85022-2184 | 2020-03-02 |
| 1083262331 | Josey Simon | Speech-Language Pathologist | 1333 N 24th St Apt 243, Phoenix, AZ 85008-4676 | 2019-08-29 |
| 1932768892 | Brianna Buckner | Speech-Language Pathologist | 6901 W Sheila Ln, Phoenix, AZ 85033-4452 | 2019-06-13 |
| 1689172942 | Ashley Elizabeth Kinkel | Speech-Language Pathologist | 3126 E Mulberry Dr, Phoenix, AZ 85016-7548 | 2018-01-31 |
| 1659882702 | Pamela Mae Pyle | Speech-Language Pathologist | 13440 N 44th St Apt 1150, Phoenix, AZ 85032-6393 | 2017-10-17 |
| 1477062495 | Kellie Kathleen Voss | Speech-Language Pathologist | 4505 E Palm Ln, Phoenix, AZ 85008-4123 | 2017-09-21 |
| 1679090823 | Margaret Easton | Speech-Language Pathologist | 7022 N 2nd St, Phoenix, AZ 85020-4809 | 2017-08-28 |
| 1457876013 | Paris Hasl | Speech-Language Pathologist | 4545 N 36th St Ste 125a, Phoenix, AZ 85018-3456 | 2017-08-04 |
| 1609390236 | Justin Segura | Speech-Language Pathologist | 9820 N Central Ave Unit 110, Phoenix, AZ 85020-1054 | 2017-07-26 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on LISA VICKERS.
| 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.