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Amy Lloyd Lysen , MS, CCC-SLP

Speech-Language Pathologist β€’ Smithfield, NC

Active NPI 1184749806 Individual Practitioner Female Practitioner
Practice location in NPPES

447 Venture Dr Ste D
Smithfield, NC 275774765

Call 9102982331 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

447 Venture Dr Ste D

Smithfield, NC 275774765

Telephone 9102982331
Organization at the Same NPPES Address or Phone
Advantage Ot, Pc Facility NPI 1497282479

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Smithfield and North Carolina

110 active clinicians are listed under Speech-Language Pathologist with a practice address in Smithfield, NC (7,305 in North Carolina).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Smithfield

0% of these 110 clinicians have the CMS telehealth indicator.

1.8% of these 110 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-02-20
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES NC 4619

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: North Carolina Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Bcbs
135J7 (NC)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Stacie Whitfield , MS, OTR, L

Occupational Therapist

NPI 1851932982

Master of Science, Occupational Therapist Registered, L

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location February 20, 2023

Registered at 447 VENTURE DR STE D, SMITHFIELD, NC 275774765 (Tel: 9102982331)

πŸ“
Updated Business Mailing Address February 20, 2023

Registered at 210 E HORNE ST, CLAYTON, NC 275202444 (Tel: 9196140628)

πŸ‘€
Provider Name / Credentials Updated February 20, 2023

Recorded as AMY LYSEN, M.S., CCC-SLP

πŸ”„
NPI Profile Reactivated February 07, 2023

Record officially reactivated for active practice on February 07, 2023

⚠️
NPI Profile Deactivated January 19, 2023

NPPES lists this NPI as deactivated as of January 19, 2023; the reason is not published.

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 319 CHAPANOKE RD, SUITE 101, RALEIGH, NC 276033433 (Tel: 9196624600)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 1005 HIGHLANDER DR, RALEIGH, NC 276038573 (Tel: 9197738554)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as AMY GINGERY, M.S., CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (license number reported to NPPES: NC 4619)

🟒
Initial NPI Registration & Enumeration March 20, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1184749806
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2007
Last Update: February 20, 2023
Sole Proprietor: No

Mailing Address

210 E Horne St

Clayton, NC 275202444

Phone: 9196140628

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.