Lisa R Salisbury, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202012458 Issued in VA

Practice address

1051 W South St
Kewanee, IL 61443-8354

Phone

(309) 852-7941

Fax

(309) 852-7948

NPI assigned

May 7, 2012

Last updated

Jun 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lisa Bridgewater Other name

Medicare fee-for-service enrollment

Enrolled in IL, VA2 enrollments

Enrollment records 2

Specialty

Qualified Speech Language Pathologist

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

• Expressable Speech-Language Pathology, P.C.

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1649875857

  IL

  Medicare reassignment
• Expressable Therapy PC

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1134875370

  VA

  Medicare reassignment

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1306105713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 W SOUTH ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614438354",
            "telephone_number": "309-852-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 W SOUTH ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614438354",
            "telephone_number": "309-852-7941",
            "fax_number": "309-852-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALISBURY",
        "first_name": "LISA",
        "middle_name": "R",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-07",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146011032",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202012458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BRIDGEWATER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephen L Rider, DDS
• Karlynn Roecker, PHARMACIST
• Royal Hco, LLC (Royal Oaks Care Center)
• Royal Hco, LLC
• Stephanie Rusk
• Scott Salisbury, PT, DPT, ATC, CSCS
• Malissa Sanders
• Aimee Shane, CRNA
• Melinda Sue Shimmin, CNP
• Anna Slover, APRN

• Speech-Language Pathologist in Kewanee, IL
• Providers in Kewanee, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.