Active NPI
Natasha Orleana Gordon
- Speech-Language Pathologist
- West Dundee, IL
National Provider Identifier
1003110073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146008775
- Practice address
- 600 Spring Hill Ring Rd
Suite 118
West Dundee, IL 60118-7300 - Phone
- (800) 566-8063
- NPI assigned
- Jan 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146008775 | IL | Primary |
Addresses
Primary practice location
600 Spring Hill Ring Rd
Suite 118
West Dundee, IL 60118-7300
Mailing address
308 N Brockway St
Apt. 1B
Palatine, IL 60067-8205
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146008775 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294185600000",
"number": "1003110073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 N BROCKWAY ST",
"address_2": "APT. 1B",
"city": "PALATINE",
"state": "IL",
"postal_code": "600678205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 SPRING HILL RING RD",
"address_2": "SUITE 118",
"city": "WEST DUNDEE",
"state": "IL",
"postal_code": "601187300",
"telephone_number": "800-566-8063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "NATASHA",
"middle_name": "ORLEANA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-05",
"last_updated": "2011-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146008775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Dundee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.