Individual provider Active NPI

Erin Marie Goodwin, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Hinsdale, IL
National Provider Identifier
1114106044
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.009094 Issued in IL
Practice address
410 W 8TH St
Hinsdale, IL 60521-4452
Phone
(630) 930-8733
NPI assigned
Oct 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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 146.009094 IL Primary

Addresses

Primary practice location

410 W 8TH St
Hinsdale, IL 60521-4452

Mailing address

410 W 8TH St
Hinsdale, IL 60521-4452
Phone (630) 930-8733

Other practice location 1

215 Sunset Ridge Rd
Willowbrook, IL 60527-8406
Phone (630) 930-8733

Other names 1

  • Erin Marie Whitebread 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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
146.009094ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1193443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1114106044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W 8TH ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214452",
            "telephone_number": "630-930-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W 8TH ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214452",
            "telephone_number": "630-930-8733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Sunset Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Willowbrook",
            "state": "IL",
            "postal_code": "605278406",
            "country_code": "US",
            "telephone_number": "630-930-8733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-27",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.009094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "WHITEBREAD",
            "middle_name": "MARIE",
            "credential": "M.A., CCC-SLP/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.