Individual provider Active NPI

Buffy Lorraine Kulbeth-Engel, MS CCC-SLP/L

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1710120639
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146005455 Issued in IL
Practice address
6444 W 65TH St
Chicago, IL 60638-5102
Phone
(312) 339-2125
Fax
(815) 301-5555
NPI assigned
Apr 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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 146005455 IL Primary

Addresses

Primary practice location

6444 W 65TH St
Chicago, IL 60638-5102

Mailing address

6345 W 64TH PL
Chicago, IL 60638-5037
Phone (312) 339-2125

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)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1710120639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6345 W 64TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606385037",
            "telephone_number": "312-339-2125",
            "fax_number": "815-301-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6444 W 65TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606385102",
            "telephone_number": "312-339-2125",
            "fax_number": "815-301-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULBETH-ENGEL",
        "first_name": "BUFFY",
        "middle_name": "LORRAINE",
        "name_prefix": "Ms.",
        "credential": "MS CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146005455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.