LISA BLACK (NPI# 1801255161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801255161 |
| Entity Type | Individual |
| Full Name | LISA BLACK |
| Practice Address |
5400 Laurel Springs Pkwy Bldg 400 #404 Suwanee GA 30024-6056 |
| Mailing Address |
2355 Ashton Dr Roswell GA 30076-4233 |
| Practice Telephone | 6784739954 |
| Practice Fax Number | 6789310105 |
| Mailing Telephone | 8584723022 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2020-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 14052341 | GA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326396706 | Lisa Marie Black | Physical Therapy Assistant | 3433 Cranston Cir, Highlands Ranch, CO 80126-3620 | 2012-08-16 |
| 1780944520 | Lisa Anne Black | Nurse Practitioner | 220 S Courtenay Pkwy, Suite B, Merritt Island, FL 32952-4893 | 2012-05-28 |
| 1659631240 | Lisa Black | Physical Therapist | 11524 Spaulding St, Omaha, NE 68164-2366 | 2012-05-17 |
| 1497086219 | Lisa Lynn Black | Midwife | 3917 Hickory Bend Trl, Mckinney, TX 75071-2776 | 2010-01-18 |
| 1871780387 | Lisa Gail Black | Massage Therapist | 525 13th Avenue, Huntington, WV 25701 | 2007-09-28 |
| 1386787661 | Lisa Myers Black | Psychologist | 4003 24th Ave Ne, Norman, OK 73071-7749 | 2007-02-15 |
| 1851484307 | Lisa Breaux Black | Family Medicine | 895 Verret St, Houma, LA 70360-4635 | 2006-10-02 |
| 1730152653 | Lisa B Black | Internal Medicine | 701 E Marshall St Ste 640, West Chester, PA 19380-4412 | 2006-02-10 |
| 1922607696 | Lisa Black | Home Health Aide | 1119 S New York Ave, Wellston, OH 45692-2427 | 2020-10-22 |
| 1720582398 | Lisa Black | Occupational Therapist | 7445 Allen Rd Ste 102, Allen Park, MI 48101-1992 | 2018-03-20 |
| Street Address |
5400 LAUREL SPRINGS PKWY BLDG 400 #404 |
| City | SUWANEE |
| State | GA |
| Zip Code | 30024-6056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659313195 | Atlanta Psychiatric Institute | Psychiatry & Neurology | 5400 Laurel Springs Pkwy, Unit 602, Suwanee, GA 30024-6056 | 2006-06-11 |
| 1841833134 | Chelsea Moodie | Counselor | 5400 Laurel Springs Pkwy, Suwanee, GA 30024-6056 | 2019-10-20 |
| 1265088108 | Mariah Dookie | Counselor | 5400 Laurel Springs Pkwy, Suwanee, GA 30024-6056 | 2019-08-15 |
| 1952828386 | Sarah Anne Eilert | Speech-Language Pathologist | 5400 Laurel Springs Pkwy, Suwanee, GA 30024-6056 | 2017-08-25 |
| 1790202349 | Helen M Gunasekharan | Occupational Therapist | 5400 Laurel Springs Pkwy, Suwanee, GA 30024-6056 | 2017-08-24 |
| 1659822435 | Hudes Concierge Medicine, LLC | Internal Medicine | 5400 Laurel Springs Pkwy, Bldg 1400, Suite A, Suwanee, GA 30024-6056 | 2016-10-17 |
| 1346605920 | Traxler Primary Care, LLC | Pediatrics | 5400 Laurel Springs Pkwy, Suite 1402, Suwanee, GA 30024-6056 | 2015-12-23 |
| 1417323387 | Medprime North, Inc. | Pediatrics | 5400 Laurel Springs Pkwy, Suite 1402, Suwanee, GA 30024-6056 | 2015-08-14 |
| 1477935195 | Sharita Stewart | Speech-Language Pathologist | 5400 Laurel Springs Pkwy, Suwanee, GA 30024-6056 | 2015-06-18 |
| 1811377815 | South Atlanta Urology & Gynecology Associates PC | Urology | 5400 Laurel Springs Pkwy, Suite 1403, Suwanee, GA 30024-6056 | 2015-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
| 1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
| 1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
| 1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
| 1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
| 1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
| 1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
| 1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
| Find all providers in zip 30024 | ||||
| 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 |
|---|---|---|---|---|
| 1619585395 | Patricia Gauthier | Speech-Language Pathologist | 2517 Collins Port Cv, Suwanee, GA 30024-2787 | 2020-07-17 |
| 1861036642 | Katelynn Rickard | Speech-Language Pathologist | 3594 Baxley Point Dr, Suwanee, GA 30024-8461 | 2019-11-04 |
| 1417441155 | Kaizen Speech Therapy, LLC | Speech-Language Pathologist | 2133 Lawrenceville Suwanee Rd Ste 12-323, Suwanee, GA 30024-2648 | 2018-06-16 |
| 1275088718 | Taylor Orr | Speech-Language Pathologist | 4373 Hansboro Way, Suwanee, GA 30024-8734 | 2016-08-24 |
| 1700238532 | Christina Daniel | Speech-Language Pathologist | 5400 Laurel Springs Pkwy Bldg 400, Suwanee, GA 30024-6056 | 2016-07-05 |
| 1740635606 | Elizabeth Austin | Speech-Language Pathologist | 7645 Laurel Oak Dr, Suwanee, GA 30024-5371 | 2016-04-28 |
| 1093160335 | Cynthia S Green | Speech-Language Pathologist | 1015 Pebble Creek Trl, Suwanee, GA 30024-1176 | 2016-04-24 |
| 1346622925 | Falon Collins | Speech-Language Pathologist | 400 Buford Hwy Apt 3308, Suwanee, GA 30024-4940 | 2015-06-19 |
| 1194113100 | Kristen Marie Ethridge | Speech-Language Pathologist | 7185 Hartsfield Pl, Suwanee, GA 30024-3425 | 2014-12-26 |
| 1023456548 | Stacy Gayle Bura | Speech-Language Pathologist | 5050 Research Court, Ste. 800, Suwanee, GA 30024 | 2013-06-06 |
| Find all providers in SUWANEE | ||||
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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.