Katie Erickson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242002337 Issued in IL

Practice address

2423 Glenwood Ave
Joliet, IL 60435-5483

Phone

(815) 725-9992

Fax

(815) 725-9993

NPI assigned

Jul 31, 2012

Last updated

Jul 31, 2012By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Small Talk Speech Services, LLC

  • Hearing and Speech Clinic/Center
  • Bourbonnais, IL
  • NPI 1710473160
  NPD

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1790031409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355483",
            "telephone_number": "815-725-9992",
            "fax_number": "815-725-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355483",
            "telephone_number": "815-725-9992",
            "fax_number": "815-725-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242002337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• ENT Surgical Associates
• ENT Surgical Consultants
• ENT Surgical Consultants, LTD
• Stephen Scott Epner, MD
• Eric Erickson
• Ernesto Tan, M.D.S.C.
• Shaun Matthew Ernst, DPT
• Kanchana Esariya-Umpai, M.D.
• Esk Home Services (Home Helpers 58389)
• Essington Medical Group, Inc (Southshore Foot and ankle surgery)

• Speech-Language Pathologist in Joliet, IL
• Providers in Joliet, 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 Jul 31, 2012; 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.