Ellen Meyers-Hafner, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

14425 Kildare Ave
Midlothian, IL 60445-2649

Phone

(708) 309-5459

Fax

(708) 597-5422

NPI assigned

Jun 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anne K. Bludgen Speech Pathologist

  • Early Intervention Provider Agency
  • Midlothian, IL
  • NPI 1962658484
  NPD (past)
• Rehab Advantage, Inc

  • Speech-Language Pathologist
  • Midlothian, IL
  • NPI 1235341926
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265637482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5537 W PAULING RD",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604499720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14425 KILDARE AVE",
            "city": "MIDLOTHIAN",
            "state": "IL",
            "postal_code": "604452649",
            "telephone_number": "708-309-5459",
            "fax_number": "708-597-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS-HAFNER",
        "first_name": "ELLEN",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Mabin
• Dayra Melissa Macias, O.D
• Lisa Marie Mangelsdorff, COTA/L
• Karina Martinez, OTR/L
• Elizabeth C McCarthy
• Midlothian Family Dental LTD.
• Midlothian School Ditrict 143
• Joshua Napoli, PHARMD
• NK Medical Supply
• NK Medical Supply Billing

• Speech-Language Pathologist in Midlothian, IL
• Providers in Midlothian, 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 Jul 8, 2007; 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.