Individual provider Active NPI

Lindsay Klish, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Mechanicsburg, OH
National Provider Identifier
1487079794
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP11339 Issued in OH
Practice address
60 High St
Dohron Wilson Elementary
Mechanicsburg, OH 43044-1003
Phone
(937) 834-2453
NPI assigned
Feb 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

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 COND 2013210 OH
Speech-Language Pathologist 235Z00000X SP11339 OH Primary

Addresses

Primary practice location

60 High St
Dohron Wilson Elementary
Mechanicsburg, OH 43044-1003

Mailing address

60 High St
Dohron Wilson Elementary
Mechanicsburg, OH 43044-1003

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

LicenseStateTypeSpecialty
COND 2013210OHMDSpeech-Language Pathologist
SP11339OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mechanicsburg Exempted Village School District Past Accepting new patients

Organizations & group practices 1

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": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1487079794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HIGH ST",
            "address_2": "DOHRON WILSON ELEMENTARY",
            "city": "MECHANICSBURG",
            "state": "OH",
            "postal_code": "430441003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HIGH ST",
            "address_2": "DOHRON WILSON ELEMENTARY",
            "city": "MECHANICSBURG",
            "state": "OH",
            "postal_code": "430441003",
            "telephone_number": "937-834-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLISH",
        "first_name": "LINDSAY",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND 2013210",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP11339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.