Individual provider Active NPI

Debra Ann Santefort, M.S. CCC-SLP/L

  • Speech-Language Pathologist
  • Frankfort, IL
National Provider Identifier
1215449715
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.007922 Issued in IL
Practice address
10482 Nebraska St
Frankfort, IL 60423-2235
Phone
(815) 806-4053
NPI assigned
Oct 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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 146.007922 IL Primary

Addresses

Primary practice location

10482 Nebraska St
Frankfort, IL 60423-2235

Mailing address

Community Consolidated School District 157-C
10482 W. Nebraska Street
Frankfort, IL 60423-2235
Phone (815) 806-4053

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
146.007922ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1215449715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMMUNITY CONSOLIDATED SCHOOL DISTRICT 157-C",
            "address_2": "10482 W. NEBRASKA STREET",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232235",
            "telephone_number": "815-806-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10482 NEBRASKA ST",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232235",
            "telephone_number": "815-806-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTEFORT",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "credential": "M.S. CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.007922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.