Individual provider Active NPI

Kayla Pfeiffer, M.S.

  • Speech-Language Pathologist
  • Frankfort, IL
National Provider Identifier
1417405622
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.013843 Issued in IL
Practice address
22265 S 80TH Ave
Frankfort, IL 60423-9786
Phone
(815) 469-2309
NPI assigned
Sep 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146.013843 IL Primary
Speech-Language Pathologist 235Z00000X 242004050 IL

Addresses

Primary practice location

22265 S 80TH Ave
Frankfort, IL 60423-9786

Mailing address

2990 River Bend Dr
Kankakee, IL 60901-5381
Phone (815) 573-2588

Other practice location 1

200 E Court St Ste 708
Kankakee, IL 60901-3845
Phone (815) 409-6456

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
146.013843ILMDSpeech-Language Pathologist
242004050ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Yakos Therapy PC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1417405622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 RIVER BEND DR",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609015381",
            "telephone_number": "815-573-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22265 S 80TH AVE",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239786",
            "telephone_number": "815-469-2309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Court St Ste 708",
            "address_purpose": "LOCATION",
            "city": "Kankakee",
            "state": "IL",
            "postal_code": "609013845",
            "country_code": "US",
            "telephone_number": "815-409-6456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PFEIFFER",
        "first_name": "KAYLA",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.013843",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242004050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.