Individual provider Active NPI

Linda A Chalupa, CCC-SLP

  • Speech-Language Pathologist
  • New Lenox, IL
National Provider Identifier
1417166158
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
257 Garfield Ave
New Lenox, IL 60451-9530
Phone
(219) 677-0050
Fax
(866) 892-7884
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 22001950A IN
Speech-Language Pathologist 235Z00000X SA 2828 FL
Speech-Language Pathologist 235Z00000X 11401 OR
Speech-Language Pathologist 235Z00000X IL Primary

Addresses

Primary practice location

257 Garfield Ave
New Lenox, IL 60451-9530

Mailing address

257 Garfield Ave
New Lenox, IL 60451-9530
Phone (219) 677-0050

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

LicenseStateTypeSpecialty
1466NDMDDentist
SA 2828FLMDSpeech-Language Pathologist
146000164ILMDSpeech-Language Pathologist
22001950AINMDSpeech-Language Pathologist
11401ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic Pharmacy Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417166158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 GARFIELD AVE",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519530",
            "telephone_number": "219-677-0050",
            "fax_number": "866-892-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 GARFIELD AVE",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519530",
            "telephone_number": "219-677-0050",
            "fax_number": "866-892-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALUPA",
        "first_name": "LINDA",
        "middle_name": "A",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22001950A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 2828",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "11401",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

  • 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.