Active NPI
Kristin Chisum, M.S., CCC-SLP
- Speech-Language Pathologist
- Needham, MA
National Provider Identifier
1376407767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP7323
- Practice address
- 140 Gould St Ste 290
Needham, MA 02494-2397 - Phone
- (781) 400-2605
- NPI assigned
- Dec 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP7323 | MA | Primary |
Addresses
Primary practice location
140 Gould St Ste 290
Needham, MA 02494-2397
Mailing address
67 Claypit Hill Rd
Wayland, MA 01778-2004
Phone (781) 400-2605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP7323 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1376407767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 CLAYPIT HILL RD",
"city": "WAYLAND",
"state": "MA",
"postal_code": "017782004",
"telephone_number": "781-400-2605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 GOULD ST STE 290",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024942397",
"telephone_number": "781-400-2605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHISUM",
"first_name": "KRISTIN",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-11",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "SLP7323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.