Jessica J Kinzle, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1822985 Issued in IL

Practice address

850 Highview Dr
Antioch, IL 60002-1141

Phone

(847) 838-8136

NPI assigned

Nov 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1376723957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HIGHVIEW DR",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600021141",
            "telephone_number": "478-388-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HIGHVIEW DR",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600021141",
            "telephone_number": "847-838-8136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Lacrue Ave",
            "address_purpose": "LOCATION",
            "city": "Glen Mills",
            "state": "PA",
            "postal_code": "193421062",
            "country_code": "US",
            "telephone_number": "800-578-7906 x261",
            "fax_number": "800-878-5497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINZLE",
        "first_name": "JESSICA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146007976",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "1822985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunita Kakarlapudi
• Kemp Naprapathic, P.C.
• Nancy A Kemp, DN
• Alexander Keppel, PHARMD
• Kimberly F Vepley
• Jodi L Klemm, PTA
• Barbara J Kmiec, LMT
• Lori Kokaska, LCSW
• Edan Leigh Koopman, OT
• Amanda Kosh

• Speech-Language Pathologist in Antioch, IL
• Providers in Antioch, 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 Sep 17, 2020; 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.