Amy Lloyd Lysen , MS, CCC-SLP
Speech-Language Pathologist • Smithfield, NC
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, Amy Lysen has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Amy Lysen, MS, CCC-SLP was a registered Speech-Language Pathologist practicing in Smithfield, NC. Throughout an active medical career spanning 16 years, Amy Lysen provided care at the practice location at 447 VENTURE DR STE D until profile deactivation on 2023-01-19.
Practice Location & Contact Primary Location
447 Venture Dr Ste D
Smithfield, NC 275774765
Specialty Benchmarks & Practice Insights
Comparative analytics for Speech-Language Pathologist in Smithfield, NC
Practicing in Smithfield, NC (7242 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2023-02-20NUCC Taxonomy Code: 235Z00000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Occupational Therapist
Occupational Therapist
Occupational Therapist Registered, L
Occupational Therapist
Doctor of Occupational Therapy, Occupational Therapist Registered, L
Occupational Therapist
Occupational Therapist
Occupational Therapist
Occupational Therapist Registered, L
Speech-Language Pathologist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 447 VENTURE DR STE D, SMITHFIELD, NC 275774765 (Tel: 9102982331)
Registered at 210 E HORNE ST, CLAYTON, NC 275202444 (Tel: 9196140628)
Recorded as AMY LYSEN, M.S., CCC-SLP
Record officially reactivated for active practice on February 07, 2023
Record deactivated on January 19, 2023
NPI status registered as active in NPPES database
Registered at 319 CHAPANOKE RD, SUITE 101, RALEIGH, NC 276033433 (Tel: 9196624600)
Registered at 1005 HIGHLANDER DR, RALEIGH, NC 276038573 (Tel: 9197738554)
Recorded as AMY GINGERY, M.S., CCC-SLP
Speech-Language Pathologist (License #4619 in NC)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
210 E Horne St
Clayton, NC 275202444
Phone: 9196140628
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