Nichole Carrasquillo Stumpf, MS, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.014363 Issued in IL

Practice address

265 S Palmer Dr
Bolingbrook, IL 60490-2126

Phone

(708) 200-9474

NPI assigned

Aug 1, 2018

Last updated

Sep 10, 2020By 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

Other names 1

• Nichole Marie Carrasquillo Former name

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.

• Topi Topi Bilingual Therapy, PLLC

  • Speech-Language Pathologist
  • Bolingbrook, IL
  • NPI 1164211132
  NPD Authorized official

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1336627348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 S PALMER DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604902126",
            "telephone_number": "708-200-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 S PALMER DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604902126",
            "telephone_number": "708-200-9474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 Westgate St Apt 1604",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603011480",
            "country_code": "US",
            "telephone_number": "708-200-9474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUMPF",
        "first_name": "NICHOLE",
        "middle_name": "CARRASQUILLO",
        "credential": "MS, SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.014363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "CARRASQUILLO",
            "middle_name": "MARIE",
            "credential": "M.S. SLP-CCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Speech-Language Pathologist in Bolingbrook, IL
• Providers in Bolingbrook, 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 Sep 10, 2020; 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.