Kathryn Flynn Riley, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.010740 Issued in IL

Practice address

1225 Raymond Ave
La Grange Park, IL 60526-1357

Phone

(574) 286-2909

NPI assigned

Aug 23, 2011

Last updated

May 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kathryn Louise Flynn Former name

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": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1386924272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 RAYMOND AVE",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261357",
            "telephone_number": "574-286-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 RAYMOND AVE",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261357",
            "telephone_number": "574-286-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "KATHRYN",
        "middle_name": "FLYNN",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.010740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "FLYNN",
            "middle_name": "LOUISE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Ramsay, MA
• Emily Anne Raval, CRNA
• Kate Regnier
• Michelle Reynolds, OT
• Robert Edward Reynolds, COTA/L
• Karen Lou Roberts, M.S. SPECIAL ED.
• Sandra Marie Roberts, PSY. DL
• Maria E. Robles, LPN
• Marissa Rucker, RBT
• Christine Ryba, DPT

• Speech-Language Pathologist in La Grange Park, IL
• Providers in La Grange Park, 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 May 14, 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.