Lisa Smith Kurkjian

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP7686 Issued in NM

Practice address

1337 Gusdorf Rd Ste G
Taos, NM 87571-6297

Phone

(575) 758-4337

NPI assigned

Jul 10, 2019

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

State licenses

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1891347845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1371",
            "city": "RANCHOS DE TAOS",
            "state": "NM",
            "postal_code": "875571371",
            "telephone_number": "575-613-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 GUSDORF RD STE G",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716297",
            "telephone_number": "575-758-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURKJIAN",
        "first_name": "LISA",
        "middle_name": "SMITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "CF6785",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SLP7686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Henry Klein, LMSW
• Demian M Knight, PT
• Patricia Noveck Konrad, MD
• William Kotsch, PHD
• Robert Krueger, PH.D., FICPP
• La Luz Therapies LLC
• La Sellepeak RX Delivery and Transportation LLC
• Winny La, PHARMD
• Lacuna Inc
• Karsyn J Lahann, LPCC

• Speech-Language Pathologist in Taos, NM
• Providers in Taos, NM by specialty
• Speech-Language Pathologist in New Mexico

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