Individual provider Active NPI

Bridget Dehantsetters Contreras, SLP

  • Speech-Language Pathologist
  • Aurora, IL
National Provider Identifier
1346557295
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146010184 Issued in IL
Practice address
1245 Corporate Blvd
Ste 101
Aurora, IL 60505-7607
Phone
(630) 898-2200
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA7423 FL
Speech-Language Pathologist 235Z00000X 146010184 IL Primary

Addresses

Primary practice location

1245 Corporate Blvd
Ste 101
Aurora, IL 60505-7607

Mailing address

1619 Country Lakes Dr
#103
Naperville, IL 60563-9044
Phone (407) 616-2654

Other names 1

  • Bridget Dehantsetters Smyth Other name

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
SA7423FLMDSpeech-Language Pathologist
146010184ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1346557295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 COUNTRY LAKES DR",
            "address_2": "#103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639044",
            "telephone_number": "407-616-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 CORPORATE BLVD",
            "address_2": "STE 101",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605057607",
            "telephone_number": "630-898-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "BRIDGET",
        "middle_name": "DEHANTSETTERS",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7423",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146010184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "SMYTH",
            "middle_name": "DEHANTSETTERS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 15, 2010; 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.