Individual provider Active NPI

Kailyn Smith

  • Speech-Language Pathologist
  • Foxborough, MA
National Provider Identifier
1013661073
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP101354 Issued in MA
Practice address
16 Chestnut St Ste 102
Foxborough, MA 02035-1462
Phone
(508) 698-7973
NPI assigned
Feb 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 22009503A IN
Speech-Language Pathologist 235Z00000X SLP101354 MA Primary

Addresses

Primary practice location

16 Chestnut St Ste 102
Foxborough, MA 02035-1462

Mailing address

16 Chestnut St Ste 102
Foxborough, MA 02035-1462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260529003878 IN Practitioner - Qualified Speech Language Pathologist 2466922471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

518 Parkwood Dr
Clarksville, IN 47129-1204

805 N Whittington Pkwy
Louisville, KY 40222-7101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22009503AINMDSpeech-Language Pathologist
SLP101354MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Speech & Language Services Speech-Language Pathologist CurrentSince Nov 7, 2025 Accepting new patients

Locations

16 Chestnut St
Ste 102
Foxborough, MA 02035
Phone (508) 698-7973

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1013661073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CHESTNUT ST STE 102",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "020351462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CHESTNUT ST STE 102",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "020351462",
            "telephone_number": "508-698-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAILYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22009503A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "SLP101354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.