Individual provider Active NPI

Katherine Sumner Chillemi, M.A.

  • Speech-Language Pathologist
  • McCordsville, IN
National Provider Identifier
1396986816
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
46001930A Issued in IN
Practice address
10117 Oak Haven Dr
MC Cordsville, IN 46055-4411
Phone
(317) 531-3952
NPI assigned
Mar 12, 2009
Last updated
Mar 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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 46001930A IN Primary

Addresses

Primary practice location

10117 Oak Haven Dr
MC Cordsville, IN 46055-4411

Mailing address

10117 Oak Haven Dr
MC Cordsville, IN 46055-4411
Phone (317) 531-3952

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
46001930AINMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1396986816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10117 OAK HAVEN DR",
            "city": "MC CORDSVILLE",
            "state": "IN",
            "postal_code": "460554411",
            "telephone_number": "317-531-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10117 OAK HAVEN DR",
            "city": "MC CORDSVILLE",
            "state": "IN",
            "postal_code": "460554411",
            "telephone_number": "317-531-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILLEMI",
        "first_name": "KATHERINE",
        "middle_name": "SUMNER",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46001930A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McCordsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.