Kati Jean Hagenbuch, MA, CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.008520 Issued in IL

Practice address

600 E 1St St
Spring Valley, IL 61362-1512

Phone

(815) 664-7270

Fax

(815) 664-1603

NPI assigned

Mar 4, 2009

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 4, 2009.

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1124268073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 E 11TH RD",
            "city": "UTICA",
            "state": "IL",
            "postal_code": "613739628",
            "telephone_number": "815-667-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E 1ST ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621512",
            "telephone_number": "815-664-7270",
            "fax_number": "815-664-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGENBUCH",
        "first_name": "KATI",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.008520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deana Marie Giacalone
• Goldwater Care Spring Valley LLC
• Goldwater Care Spring Valley LLC
• Christine M. Greene, FNP
• Jennifer Gunness, RD, LDN, CNSC
• Hall Township HS Dist 502
• Mary Ann Hall, CRNA
• Amy Harp, MS, RD, LDN
• Peggy Helm, OTR
• Kimberly Hermann

• All providers in Spring Valley, IL
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.