Individual provider Active NPI

Nathan Cornish, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Skokie, IL
National Provider Identifier
1619373305
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.009192 Issued in IL
Practice address
8001 Lincoln Ave
Suite 800
Skokie, IL 60077-3695
Phone
(847) 745-0085
NPI assigned
Nov 7, 2014
Last updated
Nov 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146.009192 IL Primary
Speech-Language Pathologist 235Z00000X SLP000607 DC
Speech-Language Pathologist 235Z00000X 5241 NM
Speech-Language Pathologist 235Z00000X 18257 CA
Speech-Language Pathologist 235Z00000X 103897 TX

Addresses

Primary practice location

8001 Lincoln Ave
Suite 800
Skokie, IL 60077-3695

Mailing address

8001 Lincoln Ave
Suite 800
Skokie, IL 60077-3695
Phone (847) 745-0085

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
18257CAMDSpeech-Language Pathologist
SLP000607DCMDSpeech-Language Pathologist
146.009192ILMDSpeech-Language Pathologist
5241NMMDSpeech-Language Pathologist
103897TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1619373305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 LINCOLN AVE",
            "address_2": "SUITE 800",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773695",
            "telephone_number": "847-745-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 LINCOLN AVE",
            "address_2": "SUITE 800",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773695",
            "telephone_number": "847-745-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNISH",
        "first_name": "NATHAN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.009192",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP000607",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "5241",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "18257",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.