Kayla Ross

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242.006119 Issued in IL

Practice address

3711 W Kane Ave
McHenry, IL 60050-5524

Phone

(847) 393-3956

NPI assigned

Sep 20, 2020

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": "1600560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600560000000",
    "number": "1093321598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 JESSICA LN",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600484470",
            "telephone_number": "847-393-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 W KANE AVE",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505524",
            "telephone_number": "847-393-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KAYLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-20",
        "last_updated": "2020-09-20",
        "certification_date": "2020-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.006119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaylaross@d15.org",
            "affiliation": "N",
            "address_1": "3711 W Kane Ave",
            "city": "McHenry",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600505524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Thomas Rose, DPT, PT
• Rosecrance Inc
• Rosecrance, Inc.
• Juliayn Rosendahl, MA, LPC
• Rosin Optical Co., Inc.
• Milton James Ross
• Shatione Ross
• Emily Fay Rotert, DPT
• Brennan Neil Rotes
• Susan Roth

• Speech-Language Pathologist in McHenry, IL
• Providers in McHenry, 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 Sep 20, 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.