Individual provider Active NPI

Amanda Brooke Meuser, MA CCC- SLP

  • Speech-Language Pathologist
  • Glenview, IL
National Provider Identifier
1083383988
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.013948 Issued in IL
Practice address
4000 W Lake Ave
Glenview, IL 60026-1239
Phone
(847) 486-4647
NPI assigned
Sep 13, 2021
Last updated
Dec 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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 146.013948 IL Primary

Addresses

Primary practice location

4000 W Lake Ave
Glenview, IL 60026-1239

Mailing address

604 Dauphine CT
Northbrook, IL 60062-2256
Phone (847) 284-4604

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ameuser@glenbrook225.org

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
146.013948ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1083383988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 DAUPHINE CT",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622256",
            "telephone_number": "847-284-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W LAKE AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261239",
            "telephone_number": "847-486-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEUSER",
        "first_name": "AMANDA",
        "middle_name": "BROOKE",
        "credential": "MA CCC- SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.013948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ameuser@glenbrook225.org",
            "affiliation": "N",
            "address_1": "4000 W Lake Ave",
            "city": "Glenview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600261239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.