Anna Lilley, M.S., CCC-SLP, IBCLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2104011 Issued in NC

Practice address

9934 Meadowmead CT
Charlotte, NC 28273-3367

Phone

(704) 654-8599

Fax

(980) 938-6088

NPI assigned

Jun 26, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1437776309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9934 MEADOWMEAD CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733367",
            "telephone_number": "704-654-8599",
            "fax_number": "980-938-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9934 MEADOWMEAD CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733367",
            "telephone_number": "704-654-8599",
            "fax_number": "980-938-6088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2163 Voa Rd",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "NC",
            "postal_code": "278898510",
            "country_code": "US",
            "telephone_number": "252-945-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILLEY",
        "first_name": "ANNA",
        "credential": "M.S., CCC-SLP, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "2104011",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NC",
            "license": "L-304060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre Ligonde
• Kelly Marie Liguori, DNP, FNP-C
• Meredith Lucia Liguori, DACM, MSTOM
• Like Home Living
• Darla Lilleberg
• Lindsay Jones Lillibridge, FNP-C
• Joshua David Lilly, PT, DPT
• Amber Rae Lim, PHARMD
• Arthur J Lim, MD
• Robert Bentley Lim, MD

• Speech-Language Pathologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.