Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Davidson

Individual provider Speech-Language Pathologist · NPI 1457966343

Lisa Davidson is a Qualified Speech Language Pathologist in Fishers, Indiana. Qualified in 2004, 22 years ago. Practices with Fox Rehab Indiana LLC, a 93-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
22
Licensed in
IN
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

12933 Erie Pl
Fishers, IN 46037-7832
Phone: (317) 695-1826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X (IN)
Speech-Language Pathologist Taxonomy 235Z00000X
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 22004469A (IN)

Record details

NPI number1457966343
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2020
Last updated in NPPESSeptember 9, 2020
Certification dateAugust 4, 2020
Mailing address118 Medical Dr, Carmel, IN 46032-3323

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Fox Rehab Indiana Llc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fishers