Individual provider Active NPI

Karen Louise Throntveit, RN, CSP, DT

  • Developmental Therapist
  • Naperville, IL
National Provider Identifier
1417132796
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
KT17400398F Issued in IL
Practice address
23W438 Pinehurst LN
Naperville, IL 60540-9421
Phone
(630) 631-2417
Fax
(631) 305-8101
NPI assigned
Jan 4, 2008
Last updated
Jan 4, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 1542072 IL
Registered Nurse 163W00000X IL
Developmental Therapist 222Q00000X KT17400398F IL Primary

Addresses

Primary practice location

23W438 Pinehurst LN
Naperville, IL 60540-9421

Mailing address

23W438 Pinehurst LN
Naperville, IL 60540-9421
Phone (630) 631-2417

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1542072ILMDSchool Psychologist
041140848ILMDRegistered Nurse
KT17400398FILMDDevelopmental Therapist

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1417132796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23W438 PINEHURST LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605409421",
            "telephone_number": "630-631-2417",
            "fax_number": "631-305-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23W438 PINEHURST LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605409421",
            "telephone_number": "630-631-2417",
            "fax_number": "631-305-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRONTVEIT",
        "first_name": "KAREN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "RN, CSP, DT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "1542072",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": "KT17400398F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.