Kellie Meyer

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

Eyas Landing West Loop
1409 W. Carroll Ave
Chicago, IL 60607

Phone

(312) 733-0883

NPI assigned

Jun 24, 2019

Last updated

Jun 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• The Spot With Ms. Kellie

  • Hearing and Speech Clinic/Center
  • Chicago, IL
  • NPI 1184356644
  NPD Authorized official
• Eyas Landing, Inc.

  • Early Intervention Provider Agency
  • Chicago, IL
  • NPI 1053621391

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1558922344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EYAS LANDING WEST LOOP",
            "address_2": "1409 W. CARROLL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60607",
            "telephone_number": "312-733-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EYAS LANDING WEST LOOP",
            "address_2": "1409 W. CARROLL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60607",
            "telephone_number": "312-733-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "KELLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan I Meyer, MD
• Julie Meyer, CCC-SLP
• Justin Meyer
• Karen Ann Meyer, MD
• Karenmarie Kathleen Meyer, M.D.
• Kenneth N. Meyer, D.D.S.
• Laura Ann Martin Meyer
• Margaret Meyer
• Mary-Anne Meyer, APN
• Megan Meyer, MS, RD, LD

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, 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 Jun 24, 2019; 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.