Denise Kay Demoulin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1460022143 Issued in IL

Practice address

15 E Hazel Dell LN
Springfield, IL 62712-4210

Phone

(217) 585-5437

NPI assigned

Mar 12, 2018

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

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": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1255834651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 WOODLAWN DR",
            "city": "LITCHFIELD",
            "state": "IL",
            "postal_code": "620561388",
            "telephone_number": "618-973-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E HAZEL DELL LN",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627124210",
            "telephone_number": "217-585-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOULIN",
        "first_name": "DENISE",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "1460022143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa B. Delvo, P.T.
• Andrew Jacob Demarco, CRNA
• Ryan P Dembosky, MD
• John Yigit Demir
• Matt Demir
• Konstantin I Denev, M.D.
• Kylee C Denney, FNP-BC
• Timothy Samuel Denney, CRNA
• Justin Dennis
• Kayla Dennis, RBT

• Speech-Language Pathologist in Springfield, IL
• Providers in Springfield, 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 Mar 12, 2018; 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.