Individual provider Active NPI

Mary Kate Zagotta, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1164022588
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14094724 Issued in IL
Practice address
555 W Kinzie St Apt 1608
Chicago, IL 60654-5847
Phone
(708) 724-3951
NPI assigned
Oct 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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 14094724 IL Primary

Addresses

Primary practice location

555 W Kinzie St Apt 1608
Chicago, IL 60654-5847

Mailing address

555 W Kinzie St Apt 1608
Chicago, IL 60654-5847
Phone (708) 724-3951

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mkzagotta@gmail.com

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
14094724ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1164022588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W KINZIE ST APT 1608",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545847",
            "telephone_number": "708-724-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W KINZIE ST APT 1608",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545847",
            "telephone_number": "708-724-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGOTTA",
        "first_name": "MARY KATE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "14094724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mkzagotta@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "555 W Kinzie St Apt 1608",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606545847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Oct 26, 2020; 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.