Active NPI
Lindsey T Underway, ECSE
- Developmental Therapist
- Naperville, IL
National Provider Identifier
1285354860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 24406134
- Practice address
- 821 Biltmore CT
Naperville, IL 60563-3257 - Phone
- (630) 201-1700
- NPI assigned
- Sep 1, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 24406134 | CO | Primary |
Addresses
Primary practice location
821 Biltmore CT
Naperville, IL 60563-3257
Mailing address
821 Biltmore CT
Naperville, IL 60563-3257
Phone (630) 357-4858
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 |
|---|---|---|---|
| 24406134 | CO | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1285354860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 BILTMORE CT",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605633257",
"telephone_number": "630-357-4858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 BILTMORE CT",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605633257",
"telephone_number": "630-201-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERWAY",
"first_name": "LINDSEY",
"middle_name": "T",
"name_prefix": "Miss",
"credential": "ECSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-01",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "CO",
"license": "24406134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.