Erica Lynn Pennell

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146013827 Issued in IL

Practice address

3303 20TH St
Rockford, IL 61109-2312

Phone

(815) 229-2155

NPI assigned

Sep 27, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Columbus Speech and Hearing Center

  • Speech-Language Pathologist
  • Columbus, OH
  • NPI 1992724868
  Medicare reassignment NPD

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1184133647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17025 EAGLES NEST CIR",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366218",
            "telephone_number": "440-821-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 20TH ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611092312",
            "telephone_number": "815-229-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNELL",
        "first_name": "ERICA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146013827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin J Peifer, M.D.
• Pilar Romsos Peigh, MA, CCC/SLP
• Heidi Sue Pena, APRN
• Melinda Annette Pena, APNP
• Laura Penna, L.C.P.C.
• Amanda June Penney
• James Peplos
• Peter James Peplos
• Aileen M Peregrino, PT
• Ray Peregrino, DPT

• Speech-Language Pathologist in Rockford, IL
• Providers in Rockford, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.