Individual provider Active NPI

Nekea L Mott, MS, CCC-SLP

  • Speech-Language Pathologist
  • Grayslake, IL
National Provider Identifier
1164938528
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146008008 Issued in IL
Practice address
408 Center St
Grayslake, IL 60030-1626
Phone
(847) 219-4444
NPI assigned
Dec 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 146008008 IL Primary

Addresses

Primary practice location

408 Center St
Grayslake, IL 60030-1626

Mailing address

10 Spinnaker CT
Third Lake, IL 60030-2635
Phone (847) 219-4444

Other practice location 1

310 W Rockland Rd
Libertyville, IL 60048-2739
Phone (847) 219-4444

Other practice location 2

10 Spinnaker Ct
Third Lake, IL 60030-2635
Phone (847) 219-4444

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 Science

State licenses

LicenseStateTypeSpecialty
146008008ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1164938528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SPINNAKER CT",
            "city": "THIRD LAKE",
            "state": "IL",
            "postal_code": "600302635",
            "telephone_number": "847-219-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 CENTER ST",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301626",
            "telephone_number": "847-219-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 W Rockland Rd",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600482739",
            "country_code": "US",
            "telephone_number": "847-219-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Spinnaker Ct",
            "address_purpose": "LOCATION",
            "city": "Third Lake",
            "state": "IL",
            "postal_code": "600302635",
            "country_code": "US",
            "telephone_number": "847-219-4444",
            "fax_number": "847-219-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTT",
        "first_name": "NEKEA",
        "middle_name": "L",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.