Individual provider Active NPI

Amy Lynn Krischel, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Aurora, IL
National Provider Identifier
1316124191
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.008659 Issued in IL
Practice address
2830 Amli LN
#1425
Aurora, IL 60502-8855
Phone
(309) 287-8547
Fax
(630) 372-4654
NPI assigned
Jan 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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 146.008659 IL Primary

Addresses

Primary practice location

2830 Amli LN
#1425
Aurora, IL 60502-8855

Mailing address

2830 Amli LN
#1425
Aurora, IL 60502-8855
Phone (309) 287-8547

Other names 1

  • Amy Lynn Kahle Former name

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
146.008659ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1316124191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 AMLI LN",
            "address_2": "#1425",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605028855",
            "telephone_number": "309-287-8547",
            "fax_number": "630-372-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 AMLI LN",
            "address_2": "#1425",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605028855",
            "telephone_number": "309-287-8547",
            "fax_number": "630-372-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISCHEL",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-24",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.008659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "KAHLE",
            "middle_name": "LYNN",
            "credential": "M.A., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.