Individual provider Active NPI

Maureen Ellen Frogley, CCC-SLP-L

  • Speech-Language Pathologist
  • Urbana, IL
National Provider Identifier
1528121829
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1702 S Vine St
Urbana, IL 61801-5832
Phone
(217) 344-2937
Fax
(217) 344-9031
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X IL Primary

Addresses

Primary practice location

1702 S Vine St
Urbana, IL 61801-5832

Mailing address

1702 S Vine St
Urbana, IL 61801-5832
Phone (217) 369-5898

Other identifiers 1

IdentifierTypeStateIssuer
01032068OtherILBLUE CROSS BLUE SHIELD

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
146-007131ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528121829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 S VINE ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618015832",
            "telephone_number": "217-369-5898",
            "fax_number": "217-344-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 S VINE ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618015832",
            "telephone_number": "217-344-2937",
            "fax_number": "217-344-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROGLEY",
        "first_name": "MAUREEN",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01032068",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.