Individual provider Active NPI

Kathy Evangelista, M.S., CCC-SLP/L

  • Speech-Language Pathologist
  • Naperville, IL
National Provider Identifier
1154645596
Registry record updated Mar 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.006256 Issued in IL
Practice address
1001 E Chicago Ave
Suite 151
Naperville, IL 60540-5526
Phone
(630) 305-4196
NPI assigned
Mar 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2010

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 146.006256 IL Primary

Addresses

Primary practice location

1001 E Chicago Ave
Suite 151
Naperville, IL 60540-5526

Mailing address

1001 E Chicago Ave
Suite 151
Naperville, IL 60540-5526
Phone (630) 305-4196

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
146.006256ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Friends Center for Autism, Inc. Past Accepting new patients
Little Friends Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1268524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268524800000",
    "number": "1154645596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E CHICAGO AVE",
            "address_2": "SUITE 151",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405526",
            "telephone_number": "630-305-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E CHICAGO AVE",
            "address_2": "SUITE 151",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405526",
            "telephone_number": "630-305-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANGELISTA",
        "first_name": "KATHY",
        "credential": "M.S., CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-14",
        "last_updated": "2010-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.006256",
            "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 Mar 14, 2010; 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.