Lily Elisabeth Burnham, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1136 Ponce de Leon Ave NE Apt 4
Atlanta, GA 30306-4575

Phone

(404) 624-6492

Fax

(404) 624-6492

NPI assigned

Jan 5, 2022

Last updated

Sep 5, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• The Speech Lily LLC

  • Speech-Language Pathologist
  • Atlanta, GA
  • NPI 1073297826
  NPD Authorized official
• Rightstart Therapy Service, Inc.

  • Speech-Language Pathologist
  • Snellville, GA
  • NPI 1053542092
  NPD (past)

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1699436238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 PONCE DE LEON AVE NE APT 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064575",
            "telephone_number": "404-624-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 PONCE DE LEON AVE NE APT 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064575",
            "telephone_number": "404-624-6492",
            "fax_number": "404-624-6492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Bradford Sq Ste A",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302151902",
            "country_code": "US",
            "telephone_number": "770-703-6935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2690 Lawrenceville Hwy",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300332520",
            "country_code": "US",
            "telephone_number": "678-587-5199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "LILY",
        "middle_name": "ELISABETH",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Kesler Burnette
• Carla Burney
• Demetris Burney
• Nitasha Larisma Burney, MD
• Emily Sue Burnham, MD
• Burning Bear Healing Arts LLC
• Kristin Burnley, CPNP
• Anna Leong Burns
• Ashlyn Burns, LAPC
• Chante Alisha Burns

• Speech-Language Pathologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.