Kathryne Dilisio, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2017020892 Issued in MO

Practice address

1601 E Pythian St
Springfield, MO 65802-2141

Phone

(417) 895-6848

NPI assigned

Jul 12, 2019

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

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.

• Donevu LLC

  • Speech-Language Pathologist
  • Springfield, MO
  • NPI 1578940169
  NPD (past)

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1922650597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 E KERR ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658033534",
            "telephone_number": "323-807-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E PYTHIAN ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658022141",
            "telephone_number": "417-895-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILISIO",
        "first_name": "KATHRYNE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2017020892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah N Dietzman, MS, LPC
• Jaimie Kay Digby, PLMHP
• Gaurav Pradeep Dighe, M.D
• Danielle Dignan, MA, LBA, BCBA
• Andrew R Dilisio, LPC
• Gina Dill, NP
• Steven Michael Dillman, LCSW
• Dillon Companies LLC
• James E Dillon, PHARMD
• Sarah Anne Dillon, MS, CCC-SLP

• Speech-Language Pathologist in Springfield, MO
• Providers in Springfield, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.