Kendra Q Bigelow, COTA/L

Primary specialty

ContractorTaxonomy code 171W00000X

License

2010032131 Issued in MO

Practice address

6333 S Campbell Ave
2ND FLR
Chicago, IL 60629-1217

Phone

(636) 439-9168

NPI assigned

Jan 11, 2011

Last updated

Jun 25, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1073818779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 S CAMPBELL AVE",
            "address_2": "2ND FLR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606291217",
            "telephone_number": "636-439-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 S CAMPBELL AVE",
            "address_2": "2ND FLR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606291217",
            "telephone_number": "636-439-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGELOW",
        "first_name": "KENDRA",
        "middle_name": "Q",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-11",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MO",
            "license": "2010032131",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.003372",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Big Wave Dental PC
• Big Wonders Inc
• Joan Marie Bigane, CNP
• Brandon Bigby, LMFT
• Alice Bigelow, LCPC
• Harold Bigger, M.D.
• Alana Biggers, M.D.
• Elizabeth S Biggio, MA, CCC-SLP
• Lauren Christine Biggs, APRN
• Eileen Bigio, MD

• Contractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Contractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.