Active NPI
Rebecca Ann Noonan
- Speech-Language Pathologist
- Aurora, IL
National Provider Identifier
1427387950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.009277
- Practice address
- 2805 Amli LN
#2617
Aurora, IL 60502-8819 - Phone
- (630) 291-5248
- NPI assigned
- Dec 11, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 146.009277 | IL | Primary |
Addresses
Primary practice location
2805 Amli LN
#2617
Aurora, IL 60502-8819
Mailing address
2805 Amli Lane
#2617
Aurora, IL 60502
Phone (630) 291-5248
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.009277 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260489600000",
"number": "1427387950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 AMLI LANE",
"address_2": "#2617",
"city": "AURORA",
"state": "IL",
"postal_code": "60502",
"telephone_number": "630-291-5248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 AMLI LN",
"address_2": "#2617",
"city": "AURORA",
"state": "IL",
"postal_code": "605028819",
"telephone_number": "630-291-5248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOONAN",
"first_name": "REBECCA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-11",
"last_updated": "2009-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.009277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.