Individual provider Active NPI

Elizabeth Ann Neenan, M.A. SLP CFY/L

  • Speech-Language Pathologist
  • Crystal Lake, IL
National Provider Identifier
1205084928
Registry record updated Sep 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.009355 Issued in IL
Practice address
1095 Pingree Rd
Suite 119
Crystal Lake, IL 60014-1725
Phone
(847) 458-8890
Fax
(847) 458-8889
NPI assigned
Sep 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2008

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 146.009355 IL Primary

Addresses

Primary practice location

1095 Pingree Rd
Suite 119
Crystal Lake, IL 60014-1725

Mailing address

974 Abbington Dr
Crystal Lake, IL 60014-7818
Phone (815) 455-1785

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 Arts

State licenses

LicenseStateTypeSpecialty
146.009355ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1220659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220659200000",
    "number": "1205084928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 ABBINGTON DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147818",
            "telephone_number": "815-455-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 PINGREE RD",
            "address_2": "SUITE 119",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141725",
            "telephone_number": "847-458-8890",
            "fax_number": "847-458-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEENAN",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.A. SLP CFY/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-06",
        "last_updated": "2008-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.009355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2008; 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.