MRS. LISA BLAES BURROUGHS (NPI# 1700148723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700148723 |
| Entity Type | Individual |
| Full Name | MRS. LISA BLAES BURROUGHS |
| Credential | SLP |
| Practice Address |
4720 Morrison Dr Mobile AL 36609-3321 |
| Mailing Address |
1805 Holly Branch Ct Mobile AL 36695-9591 |
| Practice Telephone | 2513800053 |
| Mailing Telephone | 2516343931 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2794 | AL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124473442 | Lisa Burroughs | Counselor | 1716 Briarcrest Dr Ste 602, Galleria Village Tower, Bryan, TX 77802-2751 | 2016-04-25 |
| 1356633457 | Lisa Irene Burroughs | Psychologist | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2011-05-07 |
| Street Address |
4720 MORRISON DR |
| City | MOBILE |
| State | AL |
| Zip Code | 36609-3321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396047502 | Stephanie Smith Laird | Occupational Therapist | 4720 Morrison Dr, Mobile, AL 36609-3321 | 2010-11-19 |
| 1841835741 | Forrester Thomas | Occupational Therapist | 4720 Morrison Dr, Mobile, AL 36609-3321 | 2019-11-14 |
| 1609149046 | Jennifer Lynn Spears | Speech-Language Pathologist | 4720 Morrison Dr, Mobile, AL 36609-3321 | 2012-02-15 |
| 1275802167 | Joshua M Hamilton | Physical Therapist | 4720 Morrison Dr, Mobile, AL 36609-3321 | 2011-12-21 |
| 1699073734 | Krystal Lytle | Occupational Therapist | 4720 Morrison Dr, Mobile, AL 36609-3321 | 2011-03-13 |
| 1235433293 | A2002 Senior, LLC | Assisted Living Facility | 4720 Morrison Dr, Mobile, AL 36609-3321 | 2011-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698309 | Bhg Lxxii, LLC | Clinic/Center | 4373 Dowtowner Loop South, Suite A, Mobile, AL 36609 | 2020-10-26 |
| 1760036008 | Jesse David Schultz | Chiropractor | 3501 Montlimar Plaza Drive, Mobile, AL 36609 | 2019-07-25 |
| 1982267241 | Raqueal L. Williams | Registered Nurse | 406 Larose Dr., Mobile, AL 36609 | 2019-04-22 |
| 1588131924 | Angela Roney | Counselor | 705 Oak Circle Dr. East, Mobile, AL 36609 | 2018-10-24 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1912420126 | Rural Urgent Care LLC | Clinic/Center | 6280 Grelot Road, Mobile, AL 36609 | 2017-07-19 |
| 1598128407 | Trisha Mcmillon | Counselor | 3929 Airport Blvd Ste 1-214, Mobile, AL 36609 | 2016-03-30 |
| 1437523347 | Sonya White D.d.s. PC | Dentist | 6309 Piccadilly Square Dr., Mobile, AL 36609 | 2015-11-17 |
| 1386913374 | Janis Marie Fausser | Pharmacist | 5705 Cottagehill Rd, Mobile, AL 36609 | 2011-12-20 |
| 1245524263 | Emily Chisholm | Physical Therapist | 1515 University Blvd. S., Mobile, AL 36609 | 2011-06-07 |
| Find all providers in zip 36609 | ||||
| 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 |
|---|---|---|---|---|
| 1144854258 | Candace Bennett | Speech-Language Pathologist | 2211 Dubroca St, Mobile, AL 36607-2205 | 2020-02-27 |
| 1467014019 | Victoria Suzanne Henbest | Speech-Language Pathologist | 5721 Usa North Drive, Mobile, AL 36688-0001 | 2019-07-03 |
| 1174183842 | Tara Daigle | Speech-Language Pathologist | 1539 Augusta Dr E, Mobile, AL 36695-6105 | 2019-06-15 |
| 1447721923 | Lydia Poole | Speech-Language Pathologist | 3512 Godwin Ct Ste A, Mobile, AL 36693-2526 | 2018-12-10 |
| 1801373899 | Samantha Margaret Lemond | Speech-Language Pathologist | 6157 Airport Blvd Ste 205, Mobile, AL 36608-3147 | 2018-07-23 |
| 1275020513 | Shayne Keyes | Speech-Language Pathologist | 6576 Airport Blvd Ste B300, Mobile, AL 36608-3790 | 2018-04-20 |
| 1023533858 | Reach Pediatric Therapy | Speech-Language Pathologist | 12485 Jeff Hamilton Rd, Mobile, AL 36695 | 2017-08-14 |
| 1629501846 | Monika Nuon | Speech-Language Pathologist | 5904 Rio Vista Dr, Mobile, AL 36693-3533 | 2017-04-05 |
| 1740667245 | Pediatric and Adult Therapy Services, L.L.C. | Speech-Language Pathologist | 3351 Torrey Dr, Mobile, AL 36693-3563 | 2015-05-04 |
| 1043649072 | Rebecca Clara Eskridge | Speech-Language Pathologist | 200 C East Portier Ct., Mobile, AL 36607 | 2013-11-12 |
| Find all providers in MOBILE | ||||
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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.