Individual provider Active NPI

Abby Marie James, SLP

  • Speech-Language Pathologist
  • Cedar Lake, IN
National Provider Identifier
1093931305
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146008288 Issued in IL
Practice address
12741 Hobart St
Cedar Lake, IN 46303-7120
Phone
(708) 220-5104
NPI assigned
Apr 17, 2007
Last updated
Nov 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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 146008288 IL Primary

Addresses

Primary practice location

12741 Hobart St
Cedar Lake, IN 46303-7120

Mailing address

12741 Hobart St
Cedar Lake, IN 46303-7120
Phone (708) 220-5104

Other practice location 1

24220 S Timberline Trl
Crete, IL 60417-2727
Phone (708) 717-4924

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
146008288ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1093931305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12741 HOBART ST",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463037120",
            "telephone_number": "708-220-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12741 HOBART ST",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463037120",
            "telephone_number": "708-220-5104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24220 S Timberline Trl",
            "address_purpose": "LOCATION",
            "city": "Crete",
            "state": "IL",
            "postal_code": "604172727",
            "country_code": "US",
            "telephone_number": "708-717-4924",
            "fax_number": "815-464-8431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "ABBY",
        "middle_name": "MARIE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Lake, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.