Individual provider Active NPI

Cristina Middleton, M.A. CCC-SLP/L

  • Speech-Language Pathologist
  • Skokie, IL
National Provider Identifier
1245552314
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.010036 Issued in IL
Practice address
5100 Madison St
Skokie, IL 60077
Phone
(203) 243-8177
NPI assigned
Feb 17, 2010
Last updated
Sep 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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 146.010036 IL Primary

Addresses

Primary practice location

5100 Madison St
Skokie, IL 60077

Mailing address

1404 Royal Oak LN
Glenview, IL 60025-3163
Phone (203) 243-8177

Other practice location 1

1957 W Dickens Ave
#4
Chicago, IL 60614-3934
Phone (203) 243-8177

Other practice location 2

1957 W Dickens Ave
#4
Chicago, IL 60614-3934
Phone (203) 243-8177

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
146.010036ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1245552314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 ROYAL OAK LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253163",
            "telephone_number": "203-243-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 MADISON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60077",
            "telephone_number": "203-243-8177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1957 W Dickens Ave",
            "address_2": "#4",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606143934",
            "country_code": "US",
            "telephone_number": "203-243-8177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1957 W Dickens Ave",
            "address_2": "#4",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606143934",
            "country_code": "US",
            "telephone_number": "203-243-8177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "CRISTINA",
        "credential": "M.A. CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.010036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.