Kelly S Anderson, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.008968 Issued in IL

Practice address

700 E Cougar TRL
Hoffman Estates, IL 60169-3659

Phone

(847) 755-3838

NPI assigned

Oct 25, 2017

Last updated

Oct 25, 2017By the provider in NPPES

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1902318330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E COUGAR TRL UNIT B",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601693659",
            "telephone_number": "847-755-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E COUGAR TRL",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601693659",
            "telephone_number": "847-755-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KELLY",
        "middle_name": "S",
        "credential": "MS CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.008968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anand Amin, PHARMD
• Umesh C. Amin, MD
• Amita Health
• Amelia Leigh Amon
• Joan Maree Anderson, LPTA
• Andrew W. Hartman, Psy.D.
• Nina Giovanna Angiulo
• Anne G Szpindor MD PC
• Frank Antikidis, D.C.
• Anu Sood DDS

• Speech-Language Pathologist in Hoffman Estates, IL
• Providers in Hoffman Estates, 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 Oct 25, 2017; 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.