Jessalyn Elaine Loy – Speech-Language Pathologist

Key facts

NPI: 1407298367
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 146011346 (IL)
Practice address: 600 Orchard Ave
Chatham, IL 62629-1906
Phone: (217) 473-7225
NPI assigned: Jul 20, 2013
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Science

State licenses

License	State	Type	Specialty
146011346	IL	MD	Speech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	146011346	IL	Yes

Addresses

Primary practice location

600 Orchard Ave
Chatham, IL 62629-1906

Mailing address

600 Orchard Ave
Chatham, IL 62629-1906
Phone (217) 473-7225

Other names

Ms. Jessalyn Elaine Landes Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 20, 2013.

{
    "created_epoch": "1374278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374278400000",
    "number": "1407298367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ORCHARD AVE",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626291906",
            "telephone_number": "217-473-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ORCHARD AVE",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626291906",
            "telephone_number": "217-473-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOY",
        "first_name": "JESSALYN",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-20",
        "last_updated": "2013-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146011346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSALYN",
            "last_name": "LANDES",
            "middle_name": "ELAINE",
            "prefix": "MS.",
            "credential": "MS,CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chatham, IL

All providers in Chatham, IL · Speech-Language Pathologist in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.