Odette Little, MA(CCC-SLP)L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146001970 Issued in IL

Practice address

206 S 10TH St
Oregon, IL 61061-1711

Phone

(815) 732-5300

NPI assigned

Oct 20, 2017

Last updated

Oct 20, 2017By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1184135899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 LINDSAY WAY",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081212",
            "telephone_number": "815-861-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S 10TH ST",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610611711",
            "telephone_number": "815-732-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "ODETTE",
        "credential": "MA(CCC-SLP)L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146001970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDFPR",
            "identifier": "146001970",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "01030246",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Kerwin DDS PC
• Juliette A Kalweit Schmeling, M.D.
• Ashleigh Lamb
• Kassandra Leber
• Sierra Leek, BS, MHP
• Jennifer Meisel
• Cody Conrad Merrill, PTA
• Dawn Henderson Meyer
• Sara E. Modrzejewski
• Mark K Myers, M.D.

• Speech-Language Pathologist in Oregon, IL
• Providers in Oregon, 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 Oct 20, 2017; 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.