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LISA R SALISBURY M.S. CCC-SLP
NPI 1306105713
Speech-Language Pathologist in Kewanee, IL

Active since May 07, 2012
1051 W SOUTH ST, KEWANEE, IL 61443(309) 852-7941(309) 852-7948 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa R Salisbury M.s. Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA R SALISBURY M.S. CCC-SLP (NPI 1306105713) is an individual speech-language pathologist provider in Kewanee, Illinois, licensed in Virginia (2202012458) and active in the NPI registry since May 2012. She is a graduate of Other (2011).

NPPES Registry Identity

NPI1306105713
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLISA R SALISBURYCredential: M.S. CCC-SLP
Location Address1051 W SOUTH STKewanee, IL 61443-8354
Mailing Address1051 W South StKewanee, IL 61443-8354 · (309) 852-7500
Phone(309) 852-7941
Fax(309) 852-7948
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 7, 2012
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1306105713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in VA · 2202012458✔ Licensed in IL · 146011032
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1051 W SOUTH ST, Kewanee, IL 61443
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Other Names 1

Other Name (5)Lisa Bridgewater

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa R Salisbury M.s. Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113496415
PECOS Enrollment IDI20260519003802

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. NICOLE LYNN HARMON PA
Physician Assistant
1051 W SOUTH ST
KEWANEE, IL 61443
Henry County (309) 852-7700
SARA SUZANNE UMPHFLEET RD, LDN
Dietitian, Registered
1051 W SOUTH ST
KEWANEE, IL 61443
Henry County (309) 852-7734
MIKA LYNN JOHNSON APRN, CNP
Nurse Practitioner (Gerontology)
1051 W SOUTH ST
KEWANEE, IL 61443
Henry County (815) 454-2811
OSF HEALTHCARE SYSTEM
Clinic/Center (Rural Health)
1051 W SOUTH ST
KEWANEE, IL 61443
Henry County (309) 852-7700
KEWANEE HOSPITAL
Rehabilitation Unit
1051 W SOUTH ST
KEWANEE, IL 61443
Henry County (309) 852-7500
AMANDA BROWN
Speech-Language Pathologist
1051 W SOUTH ST
KEWANEE, IL 61443
Henry County (309) 852-7500
MRS. MARY KATHLEEN GORDON OTR/L
Occupational Therapist
1051 W SOUTH ST
KEWANEE, IL 61443
Henry County (309) 852-7931
LORI L LUBBS LCPC
Counselor (Professional)
1051 W SOUTH ST
KEWANEE, IL 61443
Henry County (309) 852-7700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Salisbury's NPI number?

The NPI number for Lisa Salisbury is 1306105713. It was assigned to this individual provider in the NPPES registry on May 7, 2012. The provider is also known as Lisa Bridgewater.

Where is Lisa Salisbury located?

Lisa Salisbury practices at 1051 W South St, Kewanee, IL 61443. The listed phone number is (309) 852-7941.

What is Lisa Salisbury's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Lisa Salisbury enrolled in Medicare?

Yes. Lisa Salisbury is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Salisbury was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.