Breanna Paige Kurk

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242007315 Issued in IL

Practice address

2807 Catherine LN
Springfield, IL 62703-4474

Phone

(217) 779-7623

NPI assigned

Aug 23, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1023892734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 CATHERINE LN",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627034474",
            "telephone_number": "217-779-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 CATHERINE LN",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627034474",
            "telephone_number": "217-779-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURK",
        "first_name": "BREANNA",
        "middle_name": "PAIGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242007315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bpkurk@gmail.com",
            "affiliation": "Y",
            "affiliationName": "Ball Chatham Comm Unit School District 5",
            "address_1": "2807 Catherine Ln",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627034474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Blake Kunimoto, DDS
• Jessica T Kunken, NP-C
• Elizabeth Kunz, PHARMD
• Joel Morris Kuperman, L.AC.
• Amy Lyn Kurfman, RPH
• Rose A. Kutilek, FNP-BC
• Denis Kuzelj, MD
• John E. Kwedar, M.D.
• Susanna Sien Kwok, MD
• Helen D Kwong, MD

• Speech-Language Pathologist in Springfield, IL
• Providers in Springfield, 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 23, 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.