Katie J Vienot, MA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146-03166 Issued in IL

Practice address

507 Lee St Apt 2
Suite 200
Evanston, IL 60202-4525

Phone

(847) 969-5977

NPI assigned

Jun 7, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Synapse Pediatric Therapy PLLC

  • Occupational Therapist
  • Evanston, IL
  • NPI 1891223509

  Speech-Language Pathologist

  NPD Authorized official
• Synapse Early Intervention P.C.

  • Speech-Language Pathologist
  • Evanston, IL
  • NPI 1699417329
  NPD (past) Authorized official

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1235491077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 LEE ST APT 2",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602024525",
            "telephone_number": "316-617-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 LEE ST APT 2",
            "address_2": "SUITE 200",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602024525",
            "telephone_number": "847-969-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIENOT",
        "first_name": "KATIE",
        "middle_name": "J",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4047",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146-03166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loan Hong VI, PHARMD
• Graciela Viale-Val, PSY.D.
• Lauren V Vice, D.O.
• Thomas A Victor, M.D., PHD
• Video Game Health PLLC
• Andrew Vigansky, DO
• Anna Vignali, MD
• Satish K Vij, MD
• Morgan Elizabeth Villalovos
• Kimberly Villalta

• Speech-Language Pathologist in Evanston, IL
• Providers in Evanston, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.