Individual provider Active NPI

Kimberly S Klein, SLP

  • Speech-Language Pathologist
  • Lake Forest, IL
National Provider Identifier
1265014047
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.011536 Issued in IL
Practice address
1200 N Westmoreland Rd Ste 100
Lake Forest, IL 60045-1601
Phone
(847) 535-8022
NPI assigned
Apr 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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 146.011536 IL Primary

Addresses

Primary practice location

1200 N Westmoreland Rd Ste 100
Lake Forest, IL 60045-1601

Mailing address

1200 N Westmoreland Rd Ste 100
Lake Forest, IL 60045-1601

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address kklein1@nm.org
CONNECT URL kklein1@nm.org Direct
Direct Messaging Address kklein@nm.org

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

State licenses

LicenseStateTypeSpecialty
146.011536ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1265014047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N WESTMORELAND RD STE 100",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N WESTMORELAND RD STE 100",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451601",
            "telephone_number": "847-535-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.011536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kklein1@nm.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1200 N Westmoreland Rd",
            "address_2": "Ste 100",
            "city": "Lake Forest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600451601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kklein1@nm.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1200 N Westmoreland Rd",
            "address_2": "Ste 100",
            "city": "Lake Forest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600451601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kklein@nm.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "1200 N Westmoreland Rd Ste 100",
            "city": "Lake Forest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600451601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.