MRS. LISA KNIERIM IVANOV CCC/SLP
NPI 1972847192
Speech-Language Pathologist in Manassas, VA

Q: What is Lisa Ivanov's NPI number?

The NPI number for Lisa Ivanov is 1972847192. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Q: What is Lisa Ivanov's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Ivanov was last updated on March 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since November 15, 2012Accepts Medicare Assignment

8575 RIXLEW LN, MANASSAS, VA 20109(703) 257-2941 Get Directions Write a Review

NPPES record last updated: March 21, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Lisa Knierim Ivanov Ccc/slp NPPES

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

MRS. LISA KNIERIM IVANOV CCC/SLP (NPI 1972847192) is an individual speech-language pathologist provider in Manassas, Virginia, licensed in Virginia (2202006805) and active in the NPI registry since November 2012. She is a graduate of Other (1990).

NPPES Registry Identity

NPI1972847192

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. LISA KNIERIM IVANOVCredential: CCC/SLP

Location Address8575 RIXLEW LNManassas, VA 20109-3701

Mailing Address24476 Ripple CtAldie, VA 20105-5503 · (904) 703-9310

Phone(703) 257-2941

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateNovember 15, 2012

Last NPPES UpdateMarch 21, 2013

✔ NPI 1972847192 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 VA · 2202006805

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.

8575 RIXLEW LN, Manassas, VA 20109

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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 Knierim Ivanov Ccc/slp 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 ID2567881725

PECOS Enrollment IDI20201007002863

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.

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