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MRS. LISA M DAVIS
NPI 1306916564
Speech-Language Pathologist in Potsdam, NY

Active since November 08, 2006
22 DEPOT ST, ST LAWRENCE CO NYSARC POTSDAM DAY HABILITATION, POTSDAM, NY 13676(315) 268-1003(315) 268-0908 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Lisa M Davis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA M DAVIS (NPI 1306916564) is an individual speech-language pathologist provider in Potsdam, New York, licensed in New York (006836) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1306916564
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. LISA M DAVIS
Location Address22 DEPOT ST, ST LAWRENCE CO NYSARC POTSDAM DAY HABILITATIONPotsdam, NY 13676
Mailing Address22 Depot St, St Lawrence Co Nysarc Potsdam Day HabilitationPotsdam, NY 13676 · (315) 268-1003 · Fax (315) 268-0908
Phone(315) 268-1003
Fax(315) 268-0908
Sole ProprietorNo
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306916564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NY · 006836
Definition
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.
22 DEPOT ST, Potsdam, NY 13676
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lisa M Davis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Lisa Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of New York Comptrollers Office
115 mi
Developmental Disabilities
200 SMITH DR
Corinth, NY 12822
  • Reassigned Medicare billing, New York enrollment
  • 342 clinicians in this Medicare group
NPI 1003957424 (518) 654-7680

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRUCE J ROGERS
Technician/Technologist (Optician)
22 DEPOT ST, MARKET SQURE MALL SUITE Z
POTSDAM, NY 13676
St. Lawrence County (315) 265-2675
DR. EDMOND JOSEPH ORMOND D.D.S.
Dentist (General Practice)
22 DEPOT ST, MARKET SQUARE MALL
POTSDAM, NY 13676
St. Lawrence County (315) 265-9320
KAHLIA BURRUSS MS, LMHC-P
Counselor (Mental Health)
22 DEPOT ST
POTSDAM, NY 13676
St. Lawrence County (716) 393-6100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Davis's NPI number?

The NPI number for Lisa Davis is 1306916564. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Lisa Davis located?

Lisa Davis practices at 22 Depot St St Lawrence Co Nysarc Potsdam Day Habilitation, Potsdam, NY 13676. The listed phone number is (315) 268-1003.

What is Lisa Davis's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Lisa Davis enrolled in Medicare?

Yes. Lisa Davis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Davis reassigns Medicare benefits to State Of New York Comptrollers Office (Corinth, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Davis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.