Kianna Nicole Lyall, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242005449 Issued in IL

Practice address

415 E 9TH Ave
Monmouth, IL 61462-2755

Phone

(309) 734-4915

NPI assigned

Aug 4, 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

Other names 1

• Mrs. Kianna Nicole Sivill Other name

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": "1564876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564876800000",
    "number": "1053966374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 15TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653333",
            "telephone_number": "309-798-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E 9TH AVE",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614622755",
            "telephone_number": "309-734-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYALL",
        "first_name": "KIANNA",
        "middle_name": "NICOLE",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-04",
        "last_updated": "2019-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242005449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIANNA",
            "last_name": "SIVILL",
            "middle_name": "NICOLE",
            "prefix": "MRS.",
            "credential": "CF-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Speech-Language Pathologist in Monmouth, IL
• Providers in Monmouth, 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 4, 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.