KAELYN NOELLE RUBACH
NPI 1639055775
Speech-Language Pathologist in Sparta, IL

Q: What is Kaelyn Rubach's NPI number?

The NPI number for Kaelyn Rubach is 1639055775. It was assigned to this individual provider in the NPPES registry on August 13, 2025.

Q: What is Kaelyn Rubach's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Kaelyn Rubach was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 13, 2025

203 DEAN AVE, SPARTA, IL 62286(618) 615-7932 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kaelyn Noelle Rubach NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAELYN NOELLE RUBACH (NPI 1639055775) is an individual speech-language pathologist provider in Sparta, Illinois, licensed in Illinois (242.018402) and active in the NPI registry since August 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1639055775

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKAELYN NOELLE RUBACH

Location Address203 DEAN AVESparta, IL 62286-2301

Mailing Address506 Crestview DrSteeleville, IL 62288-2314 · (618) 615-7932

Phone(618) 615-7932

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 13, 2025

NPPES CertifiedAugust 8, 2025

✔ NPI 1639055775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in IL · 242.018402

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

203 DEAN AVE, Sparta, IL 62286

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaelyn Noelle Rubach is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779059548

PECOS Enrollment IDI20260420000351

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHEA PETROWSKE

Speech-Language Pathologist

203 DEAN AVE
SPARTA, IL 62286

Randolph County (618) 443-5331

TAYLOR HARBAUGH

Speech-Language Pathologist

203 DEAN AVE
SPARTA, IL 62286

Randolph County (618) 443-5331

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaelyn Rubach's NPI number?

The NPI number for Kaelyn Rubach is 1639055775. It was assigned to this individual provider in the NPPES registry on August 13, 2025.

Where is Kaelyn Rubach located?

Kaelyn Rubach practices at 203 Dean Ave, Sparta, IL 62286. The listed phone number is (618) 615-7932.

What is Kaelyn Rubach's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kaelyn Rubach enrolled in Medicare?

Yes. Kaelyn Rubach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaelyn Rubach was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.