Individual provider Active NPI

Jennifer Kraus, M.S., CF-SLP

  • Speech-Language Pathologist
  • Joliet, IL
National Provider Identifier
1396408662
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242.006632 Issued in IL
Practice address
1125 N Larkin Ave
Joliet, IL 60435-3487
Phone
(815) 566-0227
NPI assigned
Oct 14, 2021
Last updated
Oct 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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 242.006632 IL Primary

Addresses

Primary practice location

1125 N Larkin Ave
Joliet, IL 60435-3487

Mailing address

15310 S Indian Boundary Line Rd
Plainfield, IL 60544-1468
Phone (815) 566-0227

Other identifiers 1

IdentifierTypeStateIssuer
242.006632OtherILPROFESSIONAL LICENSING NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkraus@joliet86.org Direct Hufford Jr. High School

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 Science

State licenses

LicenseStateTypeSpecialty
242.006632ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1396408662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15310 S INDIAN BOUNDARY LINE RD",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605441468",
            "telephone_number": "815-566-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N LARKIN AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353487",
            "telephone_number": "815-566-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUS",
        "first_name": "JENNIFER",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.006632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSING NUMBER",
            "identifier": "242.006632",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkraus@joliet86.org",
            "affiliation": "Y",
            "endpointDescription": "Work email address",
            "affiliationName": "Hufford Jr. High School",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1125 N Larkin Ave",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604353487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.