Active NPI
Lacy D. Houska, SLP
- Speech-Language Pathologist
- Shelbyville, IL
National Provider Identifier
1265571798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.005606
- Practice address
- 2099 E 875 North Rd
Shelbyville, IL 62565-4214 - Phone
- (217) 774-1456
- NPI assigned
- Feb 5, 2007
- Last updated
- Aug 8, 2014
- 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 | 146.005606 | IL | Primary |
Addresses
Primary practice location
2099 E 875 North Rd
Shelbyville, IL 62565-4214
Mailing address
2099 E 875 North Rd
Shelbyville, IL 62565-4214
Phone (217) 774-1456
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 |
|---|---|---|---|
| 146.005606 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407456000000",
"number": "1265571798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2099 E 875 NORTH RD",
"city": "SHELBYVILLE",
"state": "IL",
"postal_code": "625654214",
"telephone_number": "217-774-1456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2099 E 875 NORTH RD",
"city": "SHELBYVILLE",
"state": "IL",
"postal_code": "625654214",
"telephone_number": "217-774-1456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSKA",
"first_name": "LACY",
"middle_name": "D.",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2014-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.005606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelbyville, IL
- Kristina Hebert, PHARM D
- Highland Park CVS, L.L.C. (CVS Pharmacy # 06922)
- Brooke Elizabeth Hille, OTR/L
- Ben Hoelscher
- Susan Hopkins, PTA
- HSHS Good Shephard Hospital
- HSHS Good Shepherd Hospital Inc
- HSHS Good Shepherd Hospital Inc
- HSHS Good Shepherd Hospital Inc (Shelby Memorial Hospital N H)
- HSHS Good Shepherd Hospital Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.