Individual provider Active NPI

Amy Kathleen Allen, SLPA

  • Speech-Language Assistant
  • Glendale Heights, IL
National Provider Identifier
1588049308
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
217000142 Issued in IL
Practice address
1781 Concord Dr
Glendale Heights, IL 60139-1896
Phone
(630) 338-5227
NPI assigned
Jul 22, 2015
Last updated
Jul 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 217000142 IL Primary

Addresses

Primary practice location

1781 Concord Dr
Glendale Heights, IL 60139-1896

Mailing address

1781 Concord Dr
Glendale Heights, IL 60139-1896
Phone (630) 338-5227

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
217000142ILMDSpeech-Language Assistant

Interoperability endpoints

  • Direct secure messaging: childtherapyandrehab.amyallen@158752.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1588049308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 CONCORD DR",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391896",
            "telephone_number": "630-338-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 CONCORD DR",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391896",
            "telephone_number": "630-338-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "AMY",
        "middle_name": "KATHLEEN",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "IL",
            "license": "217000142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.