Individual provider Active NPI

Agnieszka Dominika Lenart

  • Speech-Language Assistant
  • Chicago, IL
National Provider Identifier
1073968012
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
Practice address
7170 W Grand Ave
Apt 4E
Chicago, IL 60707-2862
Phone
(773) 971-6277
NPI assigned
Apr 27, 2016
Last updated
Apr 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X Primary

Addresses

Primary practice location

7170 W Grand Ave
Apt 4E
Chicago, IL 60707-2862

Mailing address

7170 W Grand Ave
Apt 4E
Chicago, IL 60707-2862
Phone (773) 971-6277

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

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1073968012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7170 W GRAND AVE",
            "address_2": "APT 4E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607072862",
            "telephone_number": "773-971-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7170 W GRAND AVE",
            "address_2": "APT 4E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607072862",
            "telephone_number": "773-971-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENART",
        "first_name": "AGNIESZKA",
        "middle_name": "DOMINIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "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 Apr 27, 2016; 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.