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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. LISA ANN WEAVER M.ED, CCC-SLP
NPI 1487509147
Speech-Language Pathologist in Winston Salem, NC

Active since February 27, 2026
210 CHARLOIS BLVD, WINSTON SALEM, NC 27103(336) 725-0222 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lisa Ann Weaver M.ed, Ccc-slp NPPES

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

MRS. LISA ANN WEAVER M.ED, CCC-SLP (NPI 1487509147) is an individual speech-language pathologist provider in Winston Salem, North Carolina, licensed in North Carolina (3019) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1487509147
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. LISA ANN WEAVERCredential: M.ED, CCC-SLP
Location Address210 CHARLOIS BLVDWinston Salem, NC 27103-1508
Mailing Address4204 Clarendon Creek CtWinston Salem, NC 27106-9420 · (336) 577-4514
Phone(336) 725-0222
Sole ProprietorYes
Enumeration DateFebruary 27, 2026
Last NPPES UpdateJuly 20, 2026
NPPES CertifiedJuly 20, 2026
✔ NPI 1487509147 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 NC · 3019
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.
210 CHARLOIS BLVD, Winston Salem, NC 27103
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Other Providers at the Same Location NPPES 20

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

DESTINY ROBINSON
Behavior Technician
210 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (704) 440-3580
MRS. CATHERINE FOLGER WEISS CCC-SLP
Speech-Language Pathologist
210 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 725-0222
FAITH KEATON M.A CCC-SLP
Speech-Language Pathologist
210 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 725-0222
MRS. HANNAH AUSTIN HALL CCC-SLP
Speech-Language Pathologist
210 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 725-0222
LINDSEY WINTER RBT
Behavior Technician
210 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (704) 440-3580
YASSMEEN DIAB
Behavior Technician
210 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (704) 440-3580
MS. ELLA HAMMOND CCC-SLP
Speech-Language Pathologist
210 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 725-0222
CAITLIN HARLEY WILHELM CCC-SLP
Speech-Language Pathologist
210 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 725-0222

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 Weaver's NPI number?

The NPI number for Lisa Weaver is 1487509147. It was assigned to this individual provider in the NPPES registry on February 27, 2026.

Where is Lisa Weaver located?

Lisa Weaver practices at 210 Charlois Blvd, Winston Salem, NC 27103. The listed phone number is (336) 725-0222.

What is Lisa Weaver's specialty?

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

When was this NPI record last updated?

The NPPES record for Lisa Weaver was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.