Active NPI
Kathleen Mary Colella, AU.D.
- Audiologist
- Chicago, IL
National Provider Identifier
1144560798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147001588
- Practice address
- 225 E Chicago Ave # 148
Chicago, IL 60611-2991 - Phone
- (312) 227-6028
- NPI assigned
- Feb 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1601000620 | MI | |
| Audiologist | 231H00000X | 147001588 | IL | Primary |
Addresses
Primary practice location
225 E Chicago Ave # 148
Chicago, IL 60611-2991
Mailing address
225 E Chicago Ave # 148
Chicago, IL 60611-2991
Phone (312) 227-6028
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147001588 | IL | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474243200000",
"number": "1144560798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE # 148",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "312-227-6028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE # 148",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "312-227-6028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLELLA",
"first_name": "KATHLEEN",
"middle_name": "MARY",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-19",
"last_updated": "2016-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "1601000620",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147001588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
- Taylor Cole, RD
- Tiffany Leia Cole, MD, MBA
- Carnell A. Colebrook-Claude, PHD, NCC, LPCC, LSOE
- Jennifer Colella, APN
- Kathleen M. Colella, ANP-BC, MSN, CURN
- Coleman R Seskind MD SC
- Coleman R. Seskind, M.D., S.C.
- Felecia Teresa Coleman-Blackshire, NP
- Wona J Coleman-Lenior, NP
- Falana Charice Coleman-Zamora, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.