Telena Rae Schaub, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242006004 Issued in IL

Practice address

10808 N Glenfield Dr
Dunlap, IL 61525-9688

Phone

(309) 453-2164

NPI assigned

Dec 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• At Home by Enhance Therapies LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1124603246

  IL, Speech-Language Pathologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1437746294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 N GLENFIELD DR",
            "city": "DUNLAP",
            "state": "IL",
            "postal_code": "615259688",
            "telephone_number": "309-453-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10808 N GLENFIELD DR",
            "city": "DUNLAP",
            "state": "IL",
            "postal_code": "615259688",
            "telephone_number": "309-453-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAUB",
        "first_name": "TELENA",
        "middle_name": "RAE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242006004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Proctor Health Systems (Lake of the Woods Medical Center)
• Mackinzee Redington, BCBA
• Trevor Daniel Richmond, DMD
• Thomas Rickey, RPH
• Timothy Earl Ruffner, D.D.S.
• Marie Schlemmer
• Courtney Kaye Schmit, COTA
• Jay Shah, MD
• Nadia Shaikh, M.D.
• Erin Patrick Shanahan, DMD

• Speech-Language Pathologist in Dunlap, IL
• Providers in Dunlap, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.