Active NPI
Roxane Gaul, M.A. CCCSP
- Speech-Language Pathologist
- Downers Grove, IL
National Provider Identifier
1003115080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.000020
- Practice address
- 9S324 Woodcreek PL
Downers Grove, IL 60516-4573 - Phone
- (630) 910-7816
- NPI assigned
- Mar 16, 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 | 146.000020 | IL | Primary |
Addresses
Primary practice location
9S324 Woodcreek PL
Downers Grove, IL 60516-4573
Mailing address
9S324 Woodcreek PL
Downers Grove, IL 60516-4573
Phone (630) 910-7816
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.000020 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1003115080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9S324 WOODCREEK PL",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605164573",
"telephone_number": "630-910-7816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9S324 WOODCREEK PL",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605164573",
"telephone_number": "630-910-7816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUL",
"first_name": "ROXANE",
"name_prefix": "Mrs.",
"credential": "M.A. CCCSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-16",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.000020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.