Individual provider Active NPI

Jasmine Vindel, M.H.S.

  • Speech-Language Pathologist
  • Bridgeview, IL
National Provider Identifier
1114188489
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242000808 Issued in IL
Practice address
7516 S Octavia Ave
Bridgeview, IL 60455-1329
Phone
(708) 710-4479
NPI assigned
Jun 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 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 242000808 IL Primary

Addresses

Primary practice location

7516 S Octavia Ave
Bridgeview, IL 60455-1329

Mailing address

7516 S Octavia Ave
Bridgeview, IL 60455-1329

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
242000808ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1114188489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7516 S OCTAVIA AVE",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604551329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7516 S OCTAVIA AVE",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604551329",
            "telephone_number": "708-710-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINDEL",
        "first_name": "JASMINE",
        "name_prefix": "Mrs.",
        "credential": "M.H.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242000808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.