Individual provider Active NPI

Ilana Streb, MS CCC SLP

  • Speech-Language Pathologist
  • Westminster, MD
National Provider Identifier
1386161545
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
08220 Issued in MD
Practice address
904 Washington Rd Ste F
Westminster, MD 21157-5838
Phone
(410) 871-2990
Fax
(410) 871-2990
NPI assigned
Aug 28, 2017
Last updated
Mar 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 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 08220 MD Primary

Addresses

Primary practice location

904 Washington Rd Ste F
Westminster, MD 21157-5838

Mailing address

904 Washington Rd Ste F
Westminster, MD 21157-5838

Other practice location 1

12442 Owings Mills Blvd
reisterstown, MD 21136
Phone (410) 871-2990

Other identifiers 1

IdentifierTypeStateIssuer
357086000MedicaidMD

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
08220MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Frankly Communicating, Inc Speech-Language Pathologist CurrentSince Jul 21, 2024 Accepting new patients

Locations

12442 Owings Mills Blvd
Reisterstown, MD 21136
Phone (410) 871-2990

904 Washington Rd
Ste F
Westminster, MD 21157
Phone (410) 871-2990

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": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1386161545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 WASHINGTON RD STE F",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 WASHINGTON RD STE F",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575838",
            "telephone_number": "410-871-2990",
            "fax_number": "410-871-2990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12442 Owings Mills Blvd",
            "address_purpose": "LOCATION",
            "city": "reisterstown",
            "state": "MD",
            "postal_code": "21136",
            "country_code": "US",
            "telephone_number": "410-871-2990",
            "fax_number": "410-871-2990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STREB",
        "first_name": "ILANA",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "08220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357086000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.