Kaylie Lou Riley

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

R400-51293723 Issued in IL

Practice address

2411 Pathways Xing
Belleville, IL 62221-5885

Phone

(618) 355-4720

NPI assigned

Aug 21, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1376023168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 PATHWAYS XING",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622215885",
            "telephone_number": "618-355-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 PATHWAYS XING",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622215885",
            "telephone_number": "618-355-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "KAYLIE",
        "middle_name": "LOU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "R400-51293723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Klauss Reynolds, O.D.
• Kyle Robert Reynolds, CNA
• Vincent Rhodes
• Kristin Elizabeth Rice, RN, BSN
• Haley Riechmann
• Michael R Riley, PT
• Ahmad Hasan Rimawi, MD
• Chelsea Rippelmeyer, OTR/L
• Jacob S Risk, RD
• Micah Ritt

• Speech-Language Pathologist in Belleville, IL
• Providers in Belleville, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.