Active NPI
Laura Dathe Zalnis, SLP
- Speech-Language Pathologist
- Harvard, IL
National Provider Identifier
1407049463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146-008571
- Practice address
- 901 Grant St
Harvard, IL 60033-1821 - Phone
- (815) 943-8657
- Fax
- (815) 943-0659
- NPI assigned
- Aug 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146-008571 | IL | Primary |
Addresses
Primary practice location
901 Grant St
Harvard, IL 60033-1821
Mailing address
901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-8657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42592600 | Medicaid | WI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146-008571 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357862400000",
"number": "1407049463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 GRANT ST",
"city": "HARVARD",
"state": "IL",
"postal_code": "600331821",
"telephone_number": "815-943-8657",
"fax_number": "815-943-0659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 GRANT ST",
"city": "HARVARD",
"state": "IL",
"postal_code": "600331821",
"telephone_number": "815-943-8657",
"fax_number": "815-943-0659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZALNIS",
"first_name": "LAURA",
"middle_name": "DATHE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-23",
"last_updated": "2013-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146-008571",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42592600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harvard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.