Active NPI
Courtney D'Nay Rodgers, EARLY INTERVENTION
- Speech-Language Pathologist
- Burr Ridge, IL
National Provider Identifier
1114407707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 217000407
- Practice address
- 1333 Burr Ridge Pkwy
Burr Ridge, IL 60527-6423 - Phone
- (630) 870-0631
- Fax
- (855) 811-0592
- NPI assigned
- Aug 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 217000407 | IL | Primary |
| Developmental Therapist | 222Q00000X | IL |
Addresses
Primary practice location
1333 Burr Ridge Pkwy
Burr Ridge, IL 60527-6423
Mailing address
2820 Willow Rd
Homewood, IL 60430-2821
Phone (708) 207-1467
Other practice location 1
2820 Willow Rd
Homewood, IL 60430-2821
Phone (708) 207-1467
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063868586 | Medicaid | IL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 217000407 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oho and Associates | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Educator
- Homewood, IL
- NPI 1063868586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565913600000",
"number": "1114407707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 WILLOW RD",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302821",
"telephone_number": "708-207-1467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 BURR RIDGE PKWY",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605276423",
"telephone_number": "630-870-0631",
"fax_number": "855-811-0592"
}
],
"practiceLocations": [
{
"address_1": "2820 Willow Rd",
"address_purpose": "LOCATION",
"city": "Homewood",
"state": "IL",
"postal_code": "604302821",
"country_code": "US",
"telephone_number": "708-207-1467",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODGERS",
"first_name": "COURTNEY",
"middle_name": "D'NAY",
"credential": "EARLY INTERVENTION",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-14",
"last_updated": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "217000407",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063868586",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.