Individual provider Active NPI

Elizabeth Kirkpatrick, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Morton Grove, IL
National Provider Identifier
1699060137
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.011136 Issued in IL
Practice address
7110 Wilson Ter
Morton Grove, IL 60053-1238
Phone
(312) 625-8231
NPI assigned
Jun 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146.011136 IL Primary

Addresses

Primary practice location

7110 Wilson Ter
Morton Grove, IL 60053-1238

Mailing address

7110 Wilson Ter
Morton Grove, IL 60053-1238
Phone (312) 625-8231

Other practice location 1

1801 W Byron St
Chicago, IL 60613-2729
Phone (773) 244-0500

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL liz@playfulpeaks.com Direct

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
146.011136ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1699060137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 WILSON TER",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531238",
            "telephone_number": "312-625-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 WILSON TER",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531238",
            "telephone_number": "312-625-8231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 W Byron St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606132729",
            "country_code": "US",
            "telephone_number": "773-244-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "ELIZABETH",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.011136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "liz@playfulpeaks.com",
            "affiliation": "N",
            "endpointDescription": "Home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Morton Grove",
            "address_1": "7110 Wilson Ter",
            "city": "Morton Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600531238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.