Individual provider Active NPI

Natalie Kelly, M.A., CCC-SLP/L

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1376080788
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.013564 Issued in IL
Practice address
2437 W Irving Park Rd Apt 2E
Chicago, IL 60618-2496
Phone
(815) 403-9299
NPI assigned
Jan 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 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 146.013564 IL Primary

Addresses

Primary practice location

2437 W Irving Park Rd Apt 2E
Chicago, IL 60618-2496

Mailing address

2437 W Irving Park Rd Apt 2E
Chicago, IL 60618-2496
Phone (815) 403-9299

Other practice location 1

550 Wellington Dr
Lakemoor, IL 60051-3774
Phone (815) 403-9299

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
146.013564ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1376080788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 W IRVING PARK RD APT 2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606182496",
            "telephone_number": "815-403-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2437 W IRVING PARK RD APT 2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606182496",
            "telephone_number": "815-403-9299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Wellington Dr",
            "address_purpose": "LOCATION",
            "city": "Lakemoor",
            "state": "IL",
            "postal_code": "600513774",
            "country_code": "US",
            "telephone_number": "815-403-9299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "NATALIE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.013564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.