NPIMap

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
Last updated
May 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Authorized official

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

Specialties & licenses 1

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

Addresses

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

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.

NPI Registry JSON

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

{
    "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.