Kelly Jane Noland

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

6177 E 3500S Rd
Saint Anne, IL 60964-4049

Phone

(815) 422-5013

NPI assigned

Sep 11, 2019

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1841849841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6177 E 3500S RD",
            "city": "SAINT ANNE",
            "state": "IL",
            "postal_code": "609644049",
            "telephone_number": "815-422-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6177 E 3500S RD",
            "city": "SAINT ANNE",
            "state": "IL",
            "postal_code": "609644049",
            "telephone_number": "815-422-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAND",
        "first_name": "KELLY",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 'There's No Place Like Home' Microboard, Inc.
• Joseph Fattori, MCAP, RMHCI
• Iroquois Memorial Hospital and Resident Home (IMH St. Anne Clinic)
• Yetha D Maloney
• Wendy M. Menigoz, N.D.
• Sergey Shushunov, MD
• St. Anne School District #256
• St. Anne School District #302
• St. Anne Unit District 24
• Morgan Strate, DPT

• Speech-Language Pathologist in Saint Anne, IL
• Providers in Saint Anne, 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 Sep 11, 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.