Active NPI
Katrina Garnett
- Developmental Therapist
- Tinley Park, IL
National Provider Identifier
1316343031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 2530185
- Practice address
- 16718 Gentry LN Apt 102
Tinley Park, IL 60477-1949 - Phone
- (708) 856-7821
- NPI assigned
- Nov 6, 2014
- Last updated
- Nov 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 2530185 | IL | Primary |
Addresses
Primary practice location
16718 Gentry LN Apt 102
Tinley Park, IL 60477-1949
Mailing address
16718 Gentry LN Apt 102
Tinley Park, IL 60477-1949
Phone (708) 856-7821
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2530185 | IL | MD | Developmental Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunflower Patterson Inc NFP | Developmental Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Developmental Therapist
- Tinley Park, IL
- NPI 1336625136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1316343031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16718 GENTRY LN APT 102",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771949",
"telephone_number": "708-856-7821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16718 GENTRY LN APT 102",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771949",
"telephone_number": "708-856-7821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNETT",
"first_name": "KATRINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-06",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IL",
"license": "2530185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.