IndividualActive
Lisa Fannin, M.S.,CCC-SLP
NPI 1003112871 · Speech-Language Pathologist · Ripon, CA
Provider details
- NPI number
- 1003112871
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S.,CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- SP 13292 (CA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
728 Nancy Dr
Ripon, CA 95366-3310
Phone: (209) 765-5057
Street-level locationGet directions
Mailing address
728 Nancy Dr
Ripon, CA 95366-3310
Registry dates
- Enumerated
- 2011-01-26
- Last updated
- 2016-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.