LISA MONIQUE QUINTANILLA M.S., CF-SLP
NPI 1700380730
Speech-Language Pathologist in Boerne, TX
About Lisa Monique Quintanilla M.s., Cf-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA MONIQUE QUINTANILLA M.S., CF-SLP (NPI 1700380730) is an individual speech-language pathologist provider in Boerne, Texas, licensed in Texas (113515) and active in the NPI registry since March 2018.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa Monique Quintanilla M.s., Cf-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lisa Quintanilla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lake Charles, LA 70601
- Reassigned Medicare billing, Texas enrollment
- 145 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Quintanilla's NPI number?
The NPI number for Lisa Quintanilla is 1700380730. It was assigned to this individual provider in the NPPES registry on March 23, 2018.
Where is Lisa Quintanilla located?
Lisa Quintanilla practices at 18 Scenic Loop Rd Ste 200A, Boerne, TX 78006. The listed phone number is (830) 755-6091.
What is Lisa Quintanilla's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Lisa Quintanilla enrolled in Medicare?
Yes. Lisa Quintanilla is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lisa Quintanilla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Quintanilla reassigns Medicare benefits to Synergy Care Southeast, LLC (Lake Charles, LA). 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 Quintanilla'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 Quintanilla was last updated on March 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Lisa Monique Quintanilla, M.S., CF-SLP · NPI 1700380730
Speech-Language Pathologist provider in Boerne, Texas. Individual provider, active in the CMS NPPES registry since March 23, 2018.
## Identity
- **NPI:** 1700380730 (Entity type: Individual)
- **Enumerated:** March 23, 2018
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 113515 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 18 SCENIC LOOP RD STE 200A, Boerne, TX 78006-8606
- **Phone:** (830) 755-6091
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Synergy Care Southeast, LLC (NPI 1427466614, Lake Charles, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 23, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1700380730) · Data from the CMS NPPES public registry.