Kylie Farison

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.016655 Issued in IL

Practice address

1621 Andrea Dr
New Lenox, IL 60451-2303

Phone

(779) 435-0724

NPI assigned

Aug 16, 2022

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

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.

• Beyond Speech Therapy Specialists LLC

  • Speech-Language Pathologist
  • New Lenox, IL
  • NPI 1275946808
  NPD (past)

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1003534116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604510405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 ANDREA DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512303",
            "telephone_number": "779-435-0724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 E Ficklin St Apt 218",
            "address_purpose": "LOCATION",
            "city": "Tuscola",
            "state": "IL",
            "postal_code": "619531917",
            "country_code": "US",
            "telephone_number": "217-521-2411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARISON",
        "first_name": "KYLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.016655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• F Aubeid PLLC
• Kimberly Falbo, MA
• Maria Falese
• Alyssa Faller, LCSW
• Family Care Chiropractic Center of New Lenox PC
• Stacy Marie Feckler, PHARM. D
• Kelsey Rene Fedor, OTR/L
• Elyse Fell, PA-C
• First Response Therapy PLLC
• Maureen L Fitzmaurice, NCC, LCPC

• Speech-Language Pathologist in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.