LISA A WAGNER (NPI# 1679817225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679817225 |
Entity Type | Individual |
Full Name | LISA A WAGNER |
Other Name | LISA A BOURGEOIS |
Credential | SLP |
Practice Address |
2923 Downing St Jacksonville FL 32205-7518 |
Practice Telephone | 2298865058 |
Mailing Telephone | 2298865058 |
Enumeration Date | 2012-11-20 |
Last Update Date | 2016-04-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | SA 13080 | FL | Speech, Language and Hearing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346754249 | Lisa Marie Wagner | Nurse Practitioner | 411 E Main St Ste 207b, Aspen, CO 81611-2953 | 2017-11-30 |
1295000743 | Lisa Marie Wagner | Licensed Practical Nurse | 70 Howard Ave, Eastchester, NY 10709-2717 | 2012-03-16 |
1952534521 | Lisa Marie Wagner | Occupational Therapist | 2830 Carol Rd, York, PA 17402-3852 | 2009-08-31 |
1780824375 | Lisa C Wagner | Speech-Language Pathologist | 59 Kinnebrook Rd, Harris, NY 12742 | 2009-02-23 |
1578731725 | Lisa Louise Wagner | Audiologist | 5040 Villa Linde Pkwy Ste A, Flint, MI 48532-3445 | 2008-02-11 |
1083824593 | Lisa Wagner | Nurse Practitioner | 1250 Broadway, 17th Floor, Visiting Nurse Service of New York, New York, NY 10001 | 2007-05-23 |
1982776712 | Lisa Ann Wagner | Dentist | 1130 Sanctuary Pkwy, Alpharetta, GA 30009-4839 | 2006-11-15 |
1063418432 | Lisa M. Wagner | Home Health Aide | 328 Antrim Rd, Xenia, OH 45385-2420 | 2005-06-21 |
1447654413 | Lisa Wagner | Occupational Therapist | 1400 Griffin Mill Rd, Easley, SC 29640-6929 | 2014-10-20 |
1407270465 | Lisa Wagner | Counselor | 3900 W Brown Deer Rd Ste 200, Milwaukee, WI 53209 | 2014-02-12 |
Street Address |
2923 DOWNING ST |
City | JACKSONVILLE |
State | FL |
Zip Code | 32205-7518 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003466830 | Brandon Neil Hillard | Registered Nurse | 1260 Mcduff Ave. South, Suite 4, Jacksonville, FL 32205 | 2019-09-13 |
1720436363 | Ericka Sampson | Massage Therapist | 6859 Lenox Ave., Suite 6, Jacksonville, FL 32205 | 2016-05-24 |
1578921631 | Northstar Counseling | Counselor | 1672 Pershing Rd, Jacksonville, FL 32205 | 2016-02-04 |
1649645144 | Magaly Perez-cruz | Speech-Language Pathologist | 4101-1 College Street, Jacksonville, FL 32205 | 2015-12-09 |
1639448723 | First Choice Adult Daycare and Home Health Ca | Specialist | 5336 Quan Drive, Jacksonville, FL 32205 | 2011-12-20 |
1437434222 | Christopher Styer | Pharmacist | 654 Casset Ave, Jacksonville, FL 32205 | 2011-10-12 |
1871827279 | April Marie Felton | Nurse Practitioner | 500 E. Adams Street, Bay Street Health Center, Jacksonville, FL 32205 | 2009-10-01 |
1922244821 | Danielle Marie Sergent | Physical Therapist | 5222 Lenox Ave., Jacksonville, FL 32205 | 2008-12-23 |
1427181775 | Lapp & Associates Behavioral Counselind Ctr | Counselor | 931 Cassat Avenue, Jacksonville, FL 32205 | 2007-03-14 |
1629143326 | Elias Moussa Sargi | Dentist | 2700 Riverside Avenue, Ste 10, Jacksonville, FL 32205 | 2006-11-21 |
Find all providers in zip 32205 |
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 |
---|---|---|---|---|
1245848514 | Danielle Huckaba | Speech-Language Pathologist | 12023 Wren Hollow Ct, Jacksonville, FL 32246-7787 | 2020-07-22 |
1699392209 | Paige E Searcy | Speech-Language Pathologist | 907 Greenridge Rd, Jacksonville, FL 32207-5251 | 2020-06-30 |
1568086619 | Carmen Schneider | Speech-Language Pathologist | 7701 Timberlin Park Blvd Apt 831, Jacksonville, FL 32256-5447 | 2020-06-04 |
1730702713 | Jennifer Horn Debardeleben | Speech-Language Pathologist | 2101 W Palm Ave, Jacksonville, FL 32254-1734 | 2020-05-25 |
1508485509 | Growing Voices Therapies, LLC | Speech-Language Pathologist | 12964 Julington Ridge Dr E, Jacksonville, FL 32258-3412 | 2020-04-10 |
1215561352 | Lori Connon | Speech-Language Pathologist | 2334 Covington Creek Cir W, Jacksonville, FL 32224-1177 | 2020-02-27 |
1922631779 | Homegrown Communication-slp, LLC | Speech-Language Pathologist | 5163 Shirley Ave, Jacksonville, FL 32210-3145 | 2020-02-20 |
1194357517 | Lauren Lynne Blunk | Speech-Language Pathologist | 1010 N Davis St, Jacksonville, FL 32209-6824 | 2020-02-05 |
1669018255 | Ying Dong | Speech-Language Pathologist | 7262 Deerfoot Point Cir Unit 3, Jacksonville, FL 32256-8623 | 2019-11-19 |
1710543764 | Lesley Nicole Summers | Speech-Language Pathologist | 6817 Southpoint Pkwy Ste 1701, Jacksonville, FL 32216-6298 | 2019-05-15 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32205 |
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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.