Individual provider Active NPI

Kristen Elizabeth Pieler

  • Speech-Language Pathologist
  • Bolingbrook, IL
National Provider Identifier
1356998850
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242005406 Issued in IL
Practice address
350 Blair LN
Bolingbrook, IL 60440-2780
Phone
(630) 759-6340
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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 242005406 IL Primary

Addresses

Primary practice location

350 Blair LN
Bolingbrook, IL 60440-2780

Mailing address

4 Trevino CT
Bolingbrook, IL 60490-6600
Phone (630) 542-5732

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL pielerk@vvsd.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
242005406ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1356998850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TREVINO CT",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604906600",
            "telephone_number": "630-542-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BLAIR LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402780",
            "telephone_number": "630-759-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIELER",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242005406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pielerk@vvsd.org",
            "affiliation": "N",
            "address_1": "350 Blair Ln",
            "city": "Bolingbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604402780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.