Active NPI
Kathryn Ann Pohlpeter
- Speech-Language Pathologist
- Macomb, IL
National Provider Identifier
1336462407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146003818
- Practice address
- 525 E Grant St
Macomb, IL 61455-3313 - Phone
- (309) 833-4101
- Fax
- (309) 836-1589
- NPI assigned
- Mar 3, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146003818 | IL | Primary |
Addresses
Primary practice location
525 E Grant St
Macomb, IL 61455-3313
Mailing address
11425 E 700TH St
Colchester, IL 62326-1728
Phone (309) 833-4101
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 |
|---|---|---|---|
| 146003818 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267574400000",
"number": "1336462407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11425 E 700TH ST",
"city": "COLCHESTER",
"state": "IL",
"postal_code": "623261728",
"telephone_number": "309-833-4101",
"fax_number": "309-836-1589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E GRANT ST",
"city": "MACOMB",
"state": "IL",
"postal_code": "614553313",
"telephone_number": "309-833-4101",
"fax_number": "309-836-1589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POHLPETER",
"first_name": "KATHRYN",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-03",
"last_updated": "2010-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146003818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macomb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.