Becky J Edge

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

346 Alana Dr
New Lenox, IL 60451-1784

Phone

(815) 462-0514

NPI assigned

Jan 29, 2007

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Kid Talk Inc

  • Speech-Language Pathologist
  • New Lenox, IL
  • NPI 1295726164
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356487250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 MOLLY CT",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513088",
            "telephone_number": "815-462-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 ALANA DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511784",
            "telephone_number": "815-462-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGE",
        "first_name": "BECKY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "9134309",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9932126",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Dykema, OTA
• Catherine Dzul
• Early Rehab Services Inc
• Aimee Echevarria
• Edgar Delcastillo
• Andre Edwards, MD
• Caroline Egbers, MA
• Charles Arthur Egner II, B.S.
• Bridget Ehman
• Nancy M Eichwald

• Speech-Language Pathologist in New Lenox, IL
• Providers in New Lenox, 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 Jul 8, 2007; 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.