Lisa Ivanov, CCC/SLP
NPI 1972847192 · Speech-Language Pathologist · Manassas, VA
Enrolled with Medicare as Practitioner - Qualified Speech Language Pathologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Ivanov, CCC/SLP is a Speech-Language Pathologist provider in Manassas, VA (NPI 1972847192).
Provider details
- NPI number
- 1972847192
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- CCC/SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 2202006805 (VA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2012-11-15
- Last updated
- 2013-03-21
Frequently asked questions
- What is Lisa Ivanov's NPI number?
- Lisa Ivanov's National Provider Identifier (NPI) is 1972847192, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Ivanov's specialty?
- Lisa Ivanov is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Lisa Ivanov located?
- Lisa Ivanov's practice location on file with NPPES is 8575 Rixlew Ln, Manassas, VA 20109-3701.
- What is Lisa Ivanov's phone number?
- The practice phone number listed in the NPPES registry for Lisa Ivanov is (703) 257-2941.
- Does Lisa Ivanov accept Medicare?
- Lisa Ivanov is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lisa Ivanov's NPI active?
- Yes — Lisa Ivanov's NPI (1972847192) is active in the NPPES registry as of the last update on 2013-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.