Active NPI
Madelynn Parrott, SLP-CF
- Speech-Language Pathologist
- Peoria, IL
National Provider Identifier
1255189072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242007624
- Practice address
- 5409 N Knoxville Ave
Peoria, IL 61614-5069 - Phone
- (309) 691-1000
- NPI assigned
- May 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242007624 | IL | Primary |
Addresses
Primary practice location
5409 N Knoxville Ave
Peoria, IL 61614-5069
Mailing address
18515 N Deer Creek LN
Edelstein, IL 61526-9627
Other practice location 1
221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone (309) 672-5522
Other practice location 2
600 S 13th St
Pekin, IL 61554-4936
Phone (309) 347-1151
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242007624 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1255189072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18515 N DEER CREEK LN",
"city": "EDELSTEIN",
"state": "IL",
"postal_code": "615269627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5409 N KNOXVILLE AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616145069",
"telephone_number": "309-691-1000"
}
],
"practiceLocations": [
{
"address_1": "221 NE Glen Oak Ave",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616360001",
"country_code": "US",
"telephone_number": "309-672-5522",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 S 13th St",
"address_purpose": "LOCATION",
"city": "Pekin",
"state": "IL",
"postal_code": "615544936",
"country_code": "US",
"telephone_number": "309-347-1151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARROTT",
"first_name": "MADELYNN",
"credential": "SLP-CF",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-07",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242007624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.