Organization Active NPI

Northwestern University

  • Speech-Language Pathologist
  • Evanston, IL
National Provider Identifier
1457762031
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146005041 Issued in IL
Legal business name
NORTHWESTERN UNIVERSITY
Practice address
2240 Campus Dr
Frances Searle BLDG
Evanston, IL 60208-0895
Phone
(847) 491-5012
NPI assigned
May 16, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Stacy Kaplan
Title
Program Director
Phone
(847) 467-4704

National Provider Directory

National Provider Directory
Tax ID family
Northwest Univ Hearing7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2240 Campus Dr
Evanston, IL 60208
Phone (847) 491-2460

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 146005041 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

2240 Campus Dr
Frances Searle BLDG
Evanston, IL 60208-0895

Mailing address

2240 Campus Dr
Frances Searle BLDG
Evanston, IL 60208-0895
Phone (847) 491-5012

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 16, 2014.

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1457762031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 CAMPUS DR",
            "address_2": "FRANCES SEARLE BLDG",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602080895",
            "telephone_number": "847-491-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 CAMPUS DR",
            "address_2": "FRANCES SEARLE BLDG",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602080895",
            "telephone_number": "847-491-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "847-467-4704",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146005041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.