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Active NPI 1972847192 Individual Practitioner Female Practitioner

Lisa Knierim Ivanov , CCC, SLP

Speech-Language Pathologist • Manassas, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lisa Ivanov, CCC, SLP is a certified Speech-Language Pathologist practicing in Manassas, VA. With approximately 36 years of clinical experience since completing medical education in 1990, Lisa Ivanov delivers high-quality medical care to the local community at 8575 RIXLEW LN.

Lisa Ivanov is affiliated with Legacy Healthcare Services Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

8575 Rixlew Ln

Manassas, VA 201093701

Telephone 7032572941

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Manassas, VA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
36 Yrs +20.5 yrs vs City Avg
City Avg: 15.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
116 Specialists

Practicing in Manassas, VA (4974 Statewide)

Telehealth Adoption Rate
0.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ivanov (36 Years) 36 Yrs
Manassas Specialty Average (15.5 Years) 15.5 Yrs

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License VA 2202006805

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.

Hospital & Practice Group Affiliations

Legacy Healthcare Services Inc

7820 Baltusrol Blvd, Gainesville, VA 201553270

Phone: 5712847342

Practice Associates & Co-Workers

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

1 Associated Practitioners
Sarah Gaspard , MS, OTR, L

Occupational Therapist

NPI 1548688500

Master of Science, Occupational Therapist Registered, L

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 21, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2013

Registered at 8575 RIXLEW LN, MANASSAS, VA 201093701 (Tel: 7032572941)

📍
Updated Business Mailing Address March 21, 2013

Registered at 24476 RIPPLE CT, ALDIE, VA 201055503 (Tel: 9047039310)

👤
Provider Name / Credentials Updated March 21, 2013

Recorded as LISA IVANOV, CCC/SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2013

Speech-Language Pathologist (License #2202006805 in VA)

🟢
Initial NPI Registration & Enumeration November 15, 2012

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: 1972847192
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2012
Last Update: March 21, 2013
Sole Proprietor: No

Mailing Address

24476 Ripple Ct

Aldie, VA 201055503

Phone: 9047039310

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.