Individual provider Active NPI

McKenzie Elizabeth Newbill, CCC, SLP

  • Speech-Language Pathologist
  • Aurora, IL
National Provider Identifier
1487297693
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2448862 Issued in IL
Practice address
780 Shoreline Dr
Aurora, IL 60504-6192
Phone
(630) 375-3030
Fax
(630) 375-3029
NPI assigned
Oct 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 2448862 IL Primary

Addresses

Primary practice location

780 Shoreline Dr
Aurora, IL 60504-6192

Mailing address

780 Shoreline Dr
Aurora, IL 60504-6192
Phone (630) 375-3030

Other names 1

  • McKenzie Elizabeth Meares Former name

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

LicenseStateTypeSpecialty
2448862ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1487297693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 SHORELINE DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605046192",
            "telephone_number": "630-375-3030",
            "fax_number": "630-375-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 SHORELINE DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605046192",
            "telephone_number": "630-375-3030",
            "fax_number": "630-375-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBILL",
        "first_name": "MCKENZIE",
        "middle_name": "ELIZABETH",
        "credential": "CCC, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "2448862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MCKENZIE",
            "last_name": "MEARES",
            "middle_name": "ELIZABETH",
            "credential": "CCC, SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 21, 2019; 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.