Lacy Boutwell
NPI 1164998928ActiveIndividual· Speech-Language Pathologist· Warner Robins, GA
Speech-Language Pathologist in Warner Robins, Georgia, licensed in GA, with an NPI issued in October 2018.
Overview
| NPI | 1164998928 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 19, 2018 |
| Last updated in NPPES | Oct 19, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SLP008941 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Speech-Language Pathologist providers in Warner Robins
- 1013360601
- 1922681253
- 1295340776
- 1346587920
- 1437200391
- 1477816312
- 1124638572
- 1366767022
- 1184225831
- 1134903891
- 1508929944
- 1861235012