Individual provider Active NPI

Nicole R Barno, M.S., SLP-CCC

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1366676793
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146010406 Issued in IL
Practice address
2042 W Augusta Blvd
3F
Chicago, IL 60622-4981
Phone
(773) 931-8289
NPI assigned
May 13, 2009
Last updated
Jul 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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 146010406 IL Primary

Addresses

Primary practice location

2042 W Augusta Blvd
3F
Chicago, IL 60622-4981

Mailing address

2042 W Augusta Blvd
3F
Chicago, IL 60622-4981
Phone (773) 931-8289

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
146010406ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1366676793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 W AUGUSTA BLVD",
            "address_2": "3F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224981",
            "telephone_number": "773-931-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 W AUGUSTA BLVD",
            "address_2": "3F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224981",
            "telephone_number": "773-931-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNO",
        "first_name": "NICOLE",
        "middle_name": "R",
        "credential": "M.S., SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146010406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.