Individual provider Active NPI

Katrina Blum

  • Speech-Language Pathologist
  • Naperville, IL
National Provider Identifier
1154000677
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202012377 Issued in VA
Practice address
2244 95TH St Ste 102
Naperville, IL 60564-8118
Phone
(630) 687-9437
NPI assigned
Jul 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146017089 IL
Speech-Language Pathologist 235Z00000X 2202012377 VA Primary

Addresses

Primary practice location

2244 95TH St Ste 102
Naperville, IL 60564-8118

Mailing address

3000 Coolidge St
Oak Brook, IL 60523-2205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, VA, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20260403001698 IL Practitioner - Qualified Speech Language Pathologist 4587149851 Reassigns benefits to 1 organization
I20260403001987 VA Practitioner - Qualified Speech Language Pathologist 4587149851 Reassigns benefits to 1 organization
I20260507002594 TX Practitioner - Qualified Speech Language Pathologist 4587149851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7600 Chevy Chase Dr
Suite 300
Austin, TX 78752-1503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
146017089ILMDSpeech-Language Pathologist
2202012377VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cortica Developmental Therapies PA PastSince Feb 25, 2024 Accepting new patients
Cortica Healthcare Inc PastSince Feb 25, 2024 Accepting new patients
Cortica ABA Therapies PA PastSince Sep 21, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1154000677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COOLIDGE ST",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 95TH ST STE 102",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648118",
            "telephone_number": "630-687-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "KATRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146017089",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202012377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.