Active NPI
Carrie Casper
- Speech-Language Pathologist
- Dekalb, IL
National Provider Identifier
1477283604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242006696
- Practice address
- 2600 N Annie Glidden Rd
Dekalb, IL 60115-1207 - Phone
- (815) 758-2477
- NPI assigned
- Jun 11, 2022
- 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 | 242006696 | IL | Primary |
Addresses
Primary practice location
2600 N Annie Glidden Rd
Dekalb, IL 60115-1207
Mailing address
411 Church St
Batavia, IL 60510-2101
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
| License | State | Type | Specialty |
|---|---|---|---|
| 242006696 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654905600000",
"number": "1477283604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 CHURCH ST",
"city": "BATAVIA",
"state": "IL",
"postal_code": "605102101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 N ANNIE GLIDDEN RD",
"city": "DEKALB",
"state": "IL",
"postal_code": "601151207",
"telephone_number": "815-758-2477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASPER",
"first_name": "CARRIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-11",
"last_updated": "2022-06-11",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242006696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dekalb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.