Individual provider Active NPI

Amy Timmons Hague, CCC-SLP

  • Speech-Language Pathologist
  • Evanston, IL
National Provider Identifier
1154569416
Registry record updated Nov 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146004390 Issued in IL
Practice address
2530 Crawford Ave Ste 301
Evanston, IL 60201-4972
Phone
(312) 550-5336
NPI assigned
Jan 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 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 146004390 IL Primary

Addresses

Primary practice location

2530 Crawford Ave Ste 301
Evanston, IL 60201-4972

Mailing address

1132 Lake Ave
Wilmette, IL 60091-1661
Phone (847) 728-0580

Other practice location 1

345 E Superior St
Chicago, IL 60611-2654
Phone (312) 238-1000

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
146004390ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Connected Speech LLC Speech-Language Pathologist CurrentSince Dec 6, 2022 Accepting new patients

Locations

2530 Crawford Ave
Ste 301
Evanston, IL 60201
Phone (312) 550-5336

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.

NPI Registry JSON

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

{
    "created_epoch": "1232841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669507200000",
    "number": "1154569416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 LAKE AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911661",
            "telephone_number": "847-728-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CRAWFORD AVE STE 301",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014972",
            "telephone_number": "312-550-5336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 E Superior St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112654",
            "country_code": "US",
            "telephone_number": "312-238-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGUE",
        "first_name": "AMY",
        "middle_name": "TIMMONS",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-25",
        "last_updated": "2022-11-27",
        "certification_date": "2022-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146004390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.