Individual provider Active NPI

Kelly A Hilliker, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Byron, IL
National Provider Identifier
1740435429
Registry record updated Nov 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.008674 Issued in IL
Practice address
1234 Joanne Ter
Byron, IL 61010-9717
Phone
(815) 986-6607
NPI assigned
Nov 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2008

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 146.008674 IL Primary

Addresses

Primary practice location

1234 Joanne Ter
Byron, IL 61010-9717

Mailing address

1234 Joanne Ter
Byron, IL 61010-9717
Phone (815) 986-6607

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
146.008674ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1227398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227398400000",
    "number": "1740435429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 JOANNE TER",
            "city": "BYRON",
            "state": "IL",
            "postal_code": "610109717",
            "telephone_number": "815-986-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 JOANNE TER",
            "city": "BYRON",
            "state": "IL",
            "postal_code": "610109717",
            "telephone_number": "815-986-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLIKER",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-23",
        "last_updated": "2008-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.008674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2008; 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.