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Deactivated NPI 1679717631 Deactivated / Inactive NPI Female Practitioner

Lisa Laverne Mitchell-Wade

Speech-Language Pathologist • Baltimore, MD

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lisa Mitchell-Wade has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 21, 2009
NPI Deactivation Date November 15, 2023
Total Practice Duration ~14 Years of Practice (2009 – 2023)

Professional Overview & Biography Verified Profile Summary

Lisa Mitchell-Wade was a registered Speech-Language Pathologist practicing in Baltimore, MD. Throughout an active medical career spanning 14 years, Lisa Mitchell-Wade provided care at the practice location at 2095 ROCKROSE AVE until profile deactivation on 2023-11-15.

Practice Location & Contact Primary Location

Practice Address

2095 Rockrose Ave

Baltimore, MD 212111328

Telephone 4108890189
Associated Practice Facility / Clinic
🏢 Ardleigh Nursing Home Inc Facility NPI 1205896578

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Baltimore, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.4 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
826 Specialists

Practicing in Baltimore, MD (4547 Statewide)

Telehealth Adoption Rate
1.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MD 03136

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Christine Barrett , MACCCSLP

Speech-Language Pathologist

NPI 1699031153
Prasanna Paranjape , OTR, L

Occupational Therapist

NPI 1730725474

Occupational Therapist Registered, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 15, 2023

Record deactivated on November 15, 2023

NPI Profile Active April 21, 2009

NPI status registered as active in NPPES database

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Updated Practice Location April 21, 2009

Registered at 2095 ROCKROSE AVE, BALTIMORE, MD 212111328 (Tel: 4108890189)

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Updated Business Mailing Address April 21, 2009

Registered at 10015 OLD COLUMBIA RD, SUITE B-215, COLUMBIA, MD 210461703 (Tel: 4108890189)

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Provider Name / Credentials Updated April 21, 2009

Recorded as LISA MITCHELL-WADE

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2009

Speech-Language Pathologist (License #03136 in MD)

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Initial NPI Registration & Enumeration April 21, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679717631
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 21, 2009
Last Update: April 21, 2009
Deactivation Date: November 15, 2023

Mailing Address

10015 Old Columbia Rd, Suite B-215

Columbia, MD 210461703

Phone: 4108890189

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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