Kathleen McKay McMillion

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.016727 Issued in IL

Practice address

411 Hamilton Blvd Ste 1908
Peoria, IL 61602-1146

Phone

(309) 674-7874

NPI assigned

May 13, 2021

Last updated

Nov 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1588238679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 N INDIANA AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616031246",
            "telephone_number": "630-888-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 HAMILTON BLVD STE 1908",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021146",
            "telephone_number": "309-674-7874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7213 N Allen Rd",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616141107",
            "country_code": "US",
            "telephone_number": "309-258-0084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLION",
        "first_name": "KATHLEEN",
        "middle_name": "MCKAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.016727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagin Abigayle McManus, OTR/L
• Holleigh Madeline McMasters, DO
• Michael E. McMeen, M.S., LCPC
• Mollie McMeen, SLP
• Matthew McMillin, MD
• Thomas James McMorrow, MD
• Stephan McMurray
• Ashley McMurtry
• Case McNally
• Leanne J McNett, LCSW

• Speech-Language Pathologist in Peoria, IL
• Providers in Peoria, 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 Nov 29, 2022; 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.