Individual provider Active NPI

Dana Lynn Gartlan, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1003212218
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146011997 Issued in IL
Practice address
1601 S Halsted St
Apt 205
Chicago, IL 60608-4455
Phone
(708) 250-5414
Fax
(888) 977-1739
NPI assigned
Nov 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2023

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 146011997 IL Primary

Addresses

Primary practice location

1601 S Halsted St
Apt 205
Chicago, IL 60608-4455

Mailing address

1601 S Halsted St
Apt 205
Chicago, IL 60608-4455
Phone (708) 250-5414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170607002987 IL Practitioner - Qualified Speech Language Pathologist 4981972312 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Spot It All Therapy Inc Speech-Language Pathologist CurrentSince Dec 9, 2019 Accepting new patients
Spot It All Therapy Inc Speech-Language Pathologist CurrentSince Dec 9, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1003212218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S HALSTED ST",
            "address_2": "APT 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084455",
            "telephone_number": "708-250-5414",
            "fax_number": "888-977-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S HALSTED ST",
            "address_2": "APT 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084455",
            "telephone_number": "708-250-5414",
            "fax_number": "888-977-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARTLAN",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-16",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146011997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.