Kaia Feggestad

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3586 Issued in WI

Practice address

1169 S Plymouth CT Apt 117
Chicago, IL 60605-2055

Phone

(608) 213-6640

NPI assigned

Sep 1, 2011

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

Other identifiers 2

Other names 1

• Ms. Kaia Maves Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1093096190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 S PLYMOUTH CT APT 117",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052055",
            "telephone_number": "608-213-0664",
            "fax_number": "312-488-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 S PLYMOUTH CT APT 117",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052055",
            "telephone_number": "608-213-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEGGESTAD",
        "first_name": "KAIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "146011981",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093096190",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAIA",
            "last_name": "MAVES",
            "prefix": "MS.",
            "credential": "MAVES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey Paul Feffer, DDS MPH
• Yvonne M Feffer
• Marie Fefferman, MD
• Claudia Margaret Fegan, M.D.
• Thomas Fegan, LPC, CADC
• Ziad Fehmi
• Patricia A Fehr, LCPC
• Monica Rose Fehrenbach, MD
• Tracy Fehrenbach, PH.D.
• Emily S. Fehrenbacher, OTR/L

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, 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 Jul 2, 2020; 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.