Individual provider Active NPI

Kellie Orr, SLP

  • Speech-Language Pathologist
  • Wheaton, IL
National Provider Identifier
1912451774
Registry record updated Jun 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146013740 Issued in IL
Practice address
1725 S Naperville Rd Ste 110
Wheaton, IL 60189
Phone
(630) 509-4911
NPI assigned
Aug 10, 2016
Last updated
Jun 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2019

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 146013740 IL Primary

Addresses

Primary practice location

1725 S Naperville Rd Ste 110
Wheaton, IL 60189

Mailing address

1725 S Naperville Rd Ste 110
Wheaton, IL 60189-5855
Phone (630) 509-4911

Other practice location 1

13400 S Route 59
Suite 116-326
Plainfield, IL 60585-5696
Phone (630) 318-4280

Other practice location 2

13400 S Route 59
Suite 116-326
Plainfield, IL 60585-5696
Phone (630) 318-4280

Other identifiers 1

IdentifierTypeStateIssuer
146.013740OtherILIL SLP LICENSE

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

State licenses

LicenseStateTypeSpecialty
146013740ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Colorado Current Accepting new patients
Shining Star Therapy, LLC Speech-Language Pathologist PastSince Mar 4, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ksitarz234574@direct.childrenscolorado.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559347200000",
    "number": "1912451774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 S NAPERVILLE RD STE 110",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601895855",
            "telephone_number": "630-509-4911",
            "fax_number": "630-793-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 S NAPERVILLE RD STE 110",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60189",
            "telephone_number": "630-509-4911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13400 S Route 59",
            "address_2": "Suite 116-326",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605855696",
            "country_code": "US",
            "telephone_number": "630-318-4280",
            "fax_number": "630-429-9411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13400 S Route 59",
            "address_2": "Suite 116-326",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605855696",
            "country_code": "US",
            "telephone_number": "630-318-4280",
            "fax_number": "630-429-9411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORR",
        "first_name": "KELLIE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2019-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146013740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL SLP LICENSE",
            "identifier": "146.013740",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.