Individual provider Active NPI

Katherine Pepping, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Mundelein, IL
National Provider Identifier
1164073490
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.014818 Issued in IL
Practice address
470 N Lake St
Mundelein, IL 60060-1825
Phone
(847) 949-2700
NPI assigned
Sep 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 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 146.014818 IL Primary

Addresses

Primary practice location

470 N Lake St
Mundelein, IL 60060-1825

Mailing address

1200 N Midlothian Rd
Mundelein, IL 60060-1146
Phone (847) 949-2712

Other practice location 1

1200 N Midlothian Rd
Mundelein, IL 60060-1146
Phone (847) 949-2712

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
146.014818ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1164073490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N MIDLOTHIAN RD",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601146",
            "telephone_number": "847-949-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 N LAKE ST",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601825",
            "telephone_number": "847-949-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Midlothian Rd",
            "address_purpose": "LOCATION",
            "city": "Mundelein",
            "state": "IL",
            "postal_code": "600601146",
            "country_code": "US",
            "telephone_number": "847-949-2712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEPPING",
        "first_name": "KATHERINE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.014818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mundelein, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.