Individual provider Active NPI

Ariel Lauren Hagemann, M.A. CCC-SLP/L

  • Speech-Language Pathologist
  • Rockford, IL
National Provider Identifier
1003442344
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146013916 Issued in IL
Practice address
950 S Mulford Rd
Rockford, IL 61108-4274
Phone
(815) 381-8531
NPI assigned
Mar 18, 2020
Reactivated
Oct 16, 2026
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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 146013916 IL Primary

Addresses

Primary practice location

950 S Mulford Rd
Rockford, IL 61108-4274

Mailing address

3621 Highcrest Rd
Rockford, IL 61107-2001
Phone (815) 978-1983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1003442344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 HIGHCREST RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611072001",
            "telephone_number": "815-978-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611084274",
            "telephone_number": "815-381-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEMANN",
        "first_name": "ARIEL",
        "middle_name": "LAUREN",
        "credential": "M.A. CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2026-10-16",
        "certification_date": "2021-07-28",
        "deactivation_date": "2021-07-28",
        "reactivation_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146013916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.