Active NPI
Kathleen Elizabeth Stegle
- Developmental Therapist
- Anna, IL
National Provider Identifier
1063754539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 101 Industrial Dr
Apt 4B
Anna, IL 62906-2162 - Phone
- (618) 697-5649
- NPI assigned
- Mar 22, 2013
- Last updated
- Mar 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
101 Industrial Dr
Apt 4B
Anna, IL 62906-2162
Mailing address
101 Industrial Dr
Apt 4B
Anna, IL 62906-2162
Phone (618) 697-5649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363910400000",
"number": "1063754539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 INDUSTRIAL DR",
"address_2": "APT 4B",
"city": "ANNA",
"state": "IL",
"postal_code": "629062162",
"telephone_number": "618-697-5649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 INDUSTRIAL DR",
"address_2": "APT 4B",
"city": "ANNA",
"state": "IL",
"postal_code": "629062162",
"telephone_number": "618-697-5649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEGLE",
"first_name": "KATHLEEN",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-22",
"last_updated": "2013-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anna, IL
- Southern Illinois Hospital Services (Memorial Hospital of Carbondale)
- Southern Illinois Medical Services, NFP (SIH Medical Group Anna Primary Care)
- James Sparks
- Michelle Stadelbacher, LCSW
- Rose Staple, LPN
- Madison Renee Stewart, OD
- Karen Strack, D.O.
- Chris Stubblefield, OTR
- Deborah Anne Sullivan, MS REHAB COUNSELING
- Autumn Sutton, BS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.