Individual provider Active NPI

Katherine Daw Degayner, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1124450259
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242002759 Issued in IL
Practice address
745 W Dickens Ave Unit 1
Chicago, IL 60614-4428
Phone
(847) 840-3721
NPI assigned
Jul 31, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 242002759 IL Primary

Addresses

Primary practice location

745 W Dickens Ave Unit 1
Chicago, IL 60614-4428

Mailing address

3043 Park PL
Evanston, IL 60201-1140
Phone (847) 840-3721

Other practice location 1

633 Dixon Ct
Gurnee, IL 60031-3177
Phone (773) 242-9672

Other names 1

  • Katherine Jayne Daw Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
242002759ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1124450259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3043 PARK PL",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011140",
            "telephone_number": "847-840-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 W DICKENS AVE UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144428",
            "telephone_number": "847-840-3721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "633 Dixon Ct",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "600313177",
            "country_code": "US",
            "telephone_number": "773-242-9672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGAYNER",
        "first_name": "KATHERINE",
        "middle_name": "DAW",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242002759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "DAW",
            "middle_name": "JAYNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.