Jillian L Klatt

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7152000837 Issued in MI

Practice address

2787 Wilson Ave NW
Walker, MI 49534-7510

Phone

(616) 915-2066

NPI assigned

Jul 19, 2024

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Behavior Analysts of West Michigan, LLC

  • Community/Behavioral Health Agency
  • Walker, MI
  • NPI 1487035879
  NPD (past)

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1689412900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 NATIONAL AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045656",
            "telephone_number": "630-696-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2787 WILSON AVE NW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495347510",
            "telephone_number": "616-915-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLATT",
        "first_name": "JILLIAN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7152000837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric James, OD
• Diane Marie Johnston, RN
• Laura Jones
• Aimee Rae Kalczuk, MS, RD
• Kingsbury Place
• Sally Kliphuis, MD
• Faith Lynne Kohley
• Erika Kryger
• Laura E Kuipers, PA
• Shannon Kathleen Leikert, D.O.

• All providers in Walker, MI
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.