Active NPI
Erin Jackson
- Speech-Language Pathologist
- Batavia, IL
National Provider Identifier
1619351061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.003532
- Practice address
- 700 W Fabyan Pkwy
Batavia, IL 60510-1269 - Phone
- (630) 879-4000
- NPI assigned
- Jul 15, 2015
- Last updated
- Nov 24, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 242.003532 | IL | Primary |
Addresses
Primary practice location
700 W Fabyan Pkwy
Batavia, IL 60510-1269
Mailing address
692 Thompson Ave
North Aurora, IL 60542-9129
Phone (630) 450-4686
Other names 1
- Erin Geihm
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Midwestern University College of Dental Medicine, Glendale, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1001 E Wilson St
Suite 100
Batavia, IL 60510-3157
Phone (630) 761-0900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242.003532 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Care LTD | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1001 E Wilson St
Ste 100
Batavia, IL 60510
Phone (630) 761-0900
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Therapy Care Services Corporation
- Speech-Language Pathologist
- Batavia, IL
- NPI 1295819100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574553600000",
"number": "1619351061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "692 THOMPSON AVE",
"city": "NORTH AURORA",
"state": "IL",
"postal_code": "605429129",
"telephone_number": "630-450-4686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W FABYAN PKWY",
"city": "BATAVIA",
"state": "IL",
"postal_code": "605101269",
"telephone_number": "630-879-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-15",
"last_updated": "2019-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.003532",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "700 W Fabyan Pkwy",
"city": "Batavia",
"state": "IL",
"country_code": "US",
"postal_code": "605101269",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ERIN",
"last_name": "GEIHM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Batavia, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.