Active NPI
Kimberly Ann Jastremski, SLP
- Speech-Language Pathologist
- Park Ridge, IL
National Provider Identifier
1114359601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 508 N. Greenwood Ave
Park Ridge, IL 60068 - Phone
- (224) 251-0950
- NPI assigned
- Aug 6, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
508 N. Greenwood Ave
Park Ridge, IL 60068
Mailing address
3301 N Lakewood Ave Apt 2F
Chicago, IL 60657-1567
Other practice location 1
3301 N Lakewood Ave Apt 2F
Chicago, IL 60657-1567
Phone (262) 397-6874
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": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548720000000",
"number": "1114359601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 N LAKEWOOD AVE APT 2F",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606571567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 N. GREENWOOD AVE",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "60068",
"telephone_number": "224-251-0950"
}
],
"practiceLocations": [
{
"address_1": "3301 N Lakewood Ave Apt 2F",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606571567",
"country_code": "US",
"telephone_number": "262-397-6874",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JASTREMSKI",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-06",
"last_updated": "2019-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.