DR. KATHERINE ANNE BROWN (CCC-SLP) – Speech-Language Pathologist, NPI 1043032741

DR. KATHERINE ANNE BROWN (CCC-SLP) is a healthcare provider. based in Coal valley, Illinois. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials CCC-SLP. They hold a License No. LL61127878 (WA). The NPI Number for DR. KATHERINE ANNE BROWN (CCC-SLP) is 1043032741

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHERINE ANNE BROWN (CCC-SLP)
NPI
1043032741
Phone
(907) 351-7140
Address
391 OAKWOOD CIR
Enumeration Date
25 October 2024
Last Update Date
25 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8774073422
Graduation Year
2021 (5 years ago)
PAC ID
1759893290
Group Practice PAC ID
3870970486
Professional Enrollment ID
I20250620003431
Address ID
IA502119736NO2901XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:1State licenses:2Digital endpointsOther names

446 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in IL

Provider Addresses for DR. KATHERINE ANNE BROWN (CCC-SLP)

  • 391 OAKWOOD CIR

    COAL VALLEY, IL 612409443

    Phone: (907) 351-7140

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250620003431IQualified Speech Language PathologistIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61240)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870970486View full group profile
NameSpecialtyState
Qualified Speech Language PathologistIA
Qualified Speech Language PathologistIA
Qualified Speech Language PathologistIA
Qualified Speech Language PathologistIA
Qualified Speech Language PathologistIA
Qualified Speech Language PathologistNJ
Qualified Speech Language PathologistIA
Qualified Speech Language PathologistIA
Qualified Speech Language PathologistIA
Qualified Speech Language PathologistIA

Reviews

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Frequently asked questions

Does DR. KATHERINE ANNE BROWN (CCC-SLP) have a public NPI I can cite?
Public records show DR. KATHERINE ANNE BROWN (CCC-SLP) under NPI 1043032741.
Is DR. KATHERINE ANNE BROWN (CCC-SLP) currently accepting referrals based on NPI status?
Registry metadata lists DR. KATHERINE ANNE BROWN (CCC-SLP) as active.
How should patients interpret DR. KATHERINE ANNE BROWN (CCC-SLP)'s specialty?
The extract shows Speech-Language Pathologist for DR. KATHERINE ANNE BROWN (CCC-SLP). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. KATHERINE ANNE BROWN (CCC-SLP)?
DR. KATHERINE ANNE BROWN (CCC-SLP) shows a connection to Coal Valley, Illinois in registry-derived data.
Who maintains DR. KATHERINE ANNE BROWN (CCC-SLP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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