The Speech Lily LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

THE SPEECH LILY LLC

Practice address

1136 Ponce de Leon Ave NE Apt 4
Atlanta, GA 30306-4575

Phone

(404) 624-6492

Fax

(404) 806-4377

NPI assigned

Jun 12, 2023

Last updated

Sep 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lily BurnhamNPI 1699436238

Title

SLP

Phone

(404) 624-6492

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lily Elisabeth Burnham, MS

  • Speech-Language Pathologist
  • Atlanta, GA
  • NPI 1699436238
  NPD Authorized official

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1073297826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 PONCE DE LEON AVE NE APT 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064575",
            "telephone_number": "404-624-6492",
            "fax_number": "404-806-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 PONCE DE LEON AVE NE APT 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064575",
            "telephone_number": "404-624-6492",
            "fax_number": "404-806-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPEECH LILY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "BURNHAM",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "404-624-6492"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.