Individual provider Active NPI

Jennifer Anne Thengil, CCC-SLP

  • Speech-Language Pathologist
  • Wheeling, IL
National Provider Identifier
1053798215
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.007167 Issued in IL
Practice address
924 Weeping Willow Dr
Wheeling, IL 60090-5745
Phone
(847) 567-9854
NPI assigned
Apr 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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 146.007167 IL Primary

Addresses

Primary practice location

924 Weeping Willow Dr
Wheeling, IL 60090-5745

Mailing address

924 Weeping Willow Dr
Wheeling, IL 60090-5745
Phone (847) 567-9854

Other names 1

  • Jennifer Anne Winkler Former name

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
146.007167ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1053798215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 WEEPING WILLOW DR",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600905745",
            "telephone_number": "847-567-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 WEEPING WILLOW DR",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600905745",
            "telephone_number": "847-567-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THENGIL",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.007167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WINKLER",
            "middle_name": "ANNE",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wheeling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.