Active NPI
Amy Rose McDowell
- Speech-Language Pathologist
- Aurora, IL
National Provider Identifier
1316389810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146012171
- Practice address
- 3965 75TH St
#104
Aurora, IL 60504-7925 - Phone
- (630) 236-7000
- NPI assigned
- Jul 24, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242.002740 | IL | |
| Speech-Language Pathologist | 235Z00000X | 146012171 | IL | Primary |
Addresses
Primary practice location
3965 75TH St
#104
Aurora, IL 60504-7925
Mailing address
3965 75TH St
#104
Aurora, IL 60504-7925
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 |
|---|---|---|---|
| 146012171 | IL | MD | Speech-Language Pathologist |
| 242.002740 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403049600000",
"number": "1316389810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3965 75TH ST",
"address_2": "#104",
"city": "AURORA",
"state": "IL",
"postal_code": "605047925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3965 75TH ST",
"address_2": "#104",
"city": "AURORA",
"state": "IL",
"postal_code": "605047925",
"telephone_number": "630-236-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDOWELL",
"first_name": "AMY",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-24",
"last_updated": "2014-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.002740",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146012171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.