Lisa J Killam, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP4540SL Issued in MA

Practice address

10 W Central St
Natick, MA 01760-4537

Phone

(617) 817-4005

NPI assigned

Jan 23, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Time 2Talk

  • Speech-Language Pathologist
  • Natick, MA
  • NPI 1447510516
  NPD (past)

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1629316849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 MARSHALL RD",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602922",
            "telephone_number": "508-650-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W CENTRAL ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604537",
            "telephone_number": "617-817-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLAM",
        "first_name": "LISA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "SP4540SL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Gerald Kennedy, MD
• Sandra Kerr
• Molly Khoury, BCBA
• Calida Khut
• Bonnie C Kiernan, REGISTERED NURSE
• Kara Elizabeth Kilroy, M.ED
• Johanne Y Kim, DDS
• Rachel E Kim, PHD
• Ryan Kim, DPT
• Kimberly O'Brien Pmhnp Inc

• Speech-Language Pathologist in Natick, MA
• Providers in Natick, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.