Individual provider Active NPI

Sarah Elisa Staffilino

  • Speech-Language Pathologist
  • Glencoe, IL
National Provider Identifier
1326501289
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.014414 Issued in ID
Practice address
252 Franklin Rd
Glencoe, IL 60022-1214
Phone
(513) 218-9021
NPI assigned
Apr 8, 2019
Last updated
Apr 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146.014414 ID Primary

Addresses

Primary practice location

252 Franklin Rd
Glencoe, IL 60022-1214

Mailing address

252 Franklin Rd
Glencoe, IL 60022-1214
Phone (513) 218-9021

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

LicenseStateTypeSpecialty
146.014414IDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Staffilino Speech and Feeding Therapy LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1326501289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 FRANKLIN RD",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "600221214",
            "telephone_number": "513-218-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 FRANKLIN RD",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "600221214",
            "telephone_number": "513-218-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFILINO",
        "first_name": "SARAH",
        "middle_name": "ELISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "146.014414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glencoe, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.