MRS. LISA MICHELLE CASSIDY STULTZ MS CCCSLP
NPI 1568651107
Speech-Language Pathologist in Avon, IN

Q: What is Lisa Cassidy Stultz's NPI number?

The NPI number for Lisa Cassidy Stultz is 1568651107. It was assigned to this individual provider in the NPPES registry on October 19, 2007.

Q: What is Lisa Cassidy Stultz's specialty?

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

Active since October 19, 2007Accepts Medicare Assignment

2141 N DAN JONES RD, AVON, IN 46123(317) 943-1837(317) 780-3750 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Mrs. Lisa Michelle Cassidy Stultz Ms Cccslp NPPES

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

MRS. LISA MICHELLE CASSIDY STULTZ MS CCCSLP (NPI 1568651107) is an individual speech-language pathologist provider in Avon, Indiana, licensed in Indiana (22004181A) and active in the NPI registry since October 2007. She is a graduate of Other (2004).

NPPES Registry Identity

NPI1568651107

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. LISA MICHELLE CASSIDY STULTZCredential: MS CCCSLP

Location Address2141 N DAN JONES RDAvon, IN 46123-6023

Mailing Address18 Estate DrMooresville, IN 46158-1216 · (317) 374-6947

Phone(317) 943-1837

Fax(317) 780-3750

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateOctober 19, 2007

Last NPPES UpdateDecember 6, 2022

NPPES CertifiedDecember 6, 2022

✔ NPI 1568651107 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 IN · 22004181A

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.

2141 N DAN JONES RD, Avon, IN 46123

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lisa Michelle Cassidy Stultz Ms Cccslp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254700453

PECOS Enrollment IDI20221209002612

Other Providers at the Same Location NPPES 4

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

POWERBACK REHABILITATION LLC

Physical Therapist

2141 N DAN JONES RD
AVON, IN 46123

Hendricks County (800) 728-8808

KRISTEN HWANG PT

Physical Therapist

2141 N DAN JONES RD
AVON, IN 46123

Hendricks County (317) 943-3932

WSSH POWERBACK REHABILITATION SERVICES, LLC

Physical Therapist

2141 N DAN JONES RD
AVON, IN 46123

Hendricks County (323) 928-9445

AMY L JELLEY

Occupational Therapist

2141 N DAN JONES RD
AVON, IN 46123

Hendricks County (317) 943-1837

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 Cassidy Stultz's NPI number?

The NPI number for Lisa Cassidy Stultz is 1568651107. It was assigned to this individual provider in the NPPES registry on October 19, 2007.

Where is Lisa Cassidy Stultz located?

Lisa Cassidy Stultz practices at 2141 N Dan Jones Rd, Avon, IN 46123. The listed phone number is (317) 943-1837.

What is Lisa Cassidy Stultz's specialty?

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

Is Lisa Cassidy Stultz enrolled in Medicare?

Yes. Lisa Cassidy Stultz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lisa Cassidy Stultz was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.