Active NPI
Jennifer Brooke Lunt, MS, CCC SLP
- Speech-Language Pathologist
- Beatrice, NE
National Provider Identifier
1669679197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146008577
- Practice address
- 400 S 7TH Street
Beatrice, NE 68310 - Phone
- (402) 942-1388
- NPI assigned
- Jun 28, 2007
- 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 | 146008577 | IL | Primary |
Addresses
Primary practice location
400 S 7TH Street
Beatrice, NE 68310
Mailing address
1700 High St
Beatrice, NE 68310-6739
Phone (402) 942-1388
Other practice location 1
15 Commerce Dr
Suite 116
Grayslake, IL 60030-7807
Phone (847) 223-7433 ext. 109
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
| License | State | Type | Specialty |
|---|---|---|---|
| 146008577 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Interactions | Past | Accepting new patients | |
| Pediatric Interactions Inc | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Grayslake, IL
- NPI 1568912277
-
- Speech-Language Pathologist
- Grayslake, IL
- NPI 1740404433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1669679197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 HIGH ST",
"city": "BEATRICE",
"state": "NE",
"postal_code": "683106739",
"telephone_number": "402-942-1388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S 7TH STREET",
"city": "BEATRICE",
"state": "NE",
"postal_code": "68310",
"telephone_number": "402-942-1388"
}
],
"practiceLocations": [
{
"address_1": "15 Commerce Dr",
"address_2": "SUITE 116",
"address_purpose": "LOCATION",
"city": "Grayslake",
"state": "IL",
"postal_code": "600307807",
"country_code": "US",
"telephone_number": "847-223-7433 x109",
"fax_number": "847-223-7435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUNT",
"first_name": "JENNIFER",
"middle_name": "BROOKE",
"credential": "MS, CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-28",
"last_updated": "2022-05-17",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146008577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beatrice, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.