Individual provider Active NPI

Hannah Elizabeth Radnitzer

  • Speech-Language Pathologist
  • Mattoon, IL
National Provider Identifier
1033623210
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146014546 Issued in IL
Practice address
2121 S 9TH St
Mattoon, IL 61938-6113
Phone
(217) 235-7138
NPI assigned
Nov 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 146014546 IL Primary

Addresses

Primary practice location

2121 S 9TH St
Mattoon, IL 61938-6113

Mailing address

1638 County Road 1000 N
Philo, IL 61864-9710
Phone (217) 684-5218

Other practice location 1

1638 County Road 1000 N
Philo, IL 61864-9710
Phone (217) 684-5218

Other practice location 2

2600 Compass Rd
Glenview, IL 60026-8001
Phone (877) 787-3430

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

State licenses

LicenseStateTypeSpecialty
146014546ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1033623210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 COUNTY ROAD 1000 N",
            "city": "PHILO",
            "state": "IL",
            "postal_code": "618649710",
            "telephone_number": "217-684-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S 9TH ST",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619386113",
            "telephone_number": "217-235-7138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1638 County Road 1000 N",
            "address_purpose": "LOCATION",
            "city": "Philo",
            "state": "IL",
            "postal_code": "618649710",
            "country_code": "US",
            "telephone_number": "217-684-5218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Compass Rd",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600268001",
            "country_code": "US",
            "telephone_number": "877-787-3430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADNITZER",
        "first_name": "HANNAH",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146014546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattoon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.