Individual provider Active NPI

Anitra Ladawn Monique McCurry

  • Speech-Language Pathologist
  • Kankakee, IL
National Provider Identifier
1689356313
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242007436 Issued in IL
Practice address
200 E Court St Ste 708
Kankakee, IL 60901-3845
Phone
(815) 304-5548
NPI assigned
Aug 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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 242007436 IL Primary

Addresses

Primary practice location

200 E Court St Ste 708
Kankakee, IL 60901-3845

Mailing address

108 Strasma East Dr
Kankakee, IL 60901-5944
Phone (815) 218-8479

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
242007436ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Yakos Therapy PC Speech-Language Pathologist PastSince Aug 6, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1689356313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 STRASMA EAST DR",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609015944",
            "telephone_number": "815-218-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E COURT ST STE 708",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013845",
            "telephone_number": "815-304-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCURRY",
        "first_name": "ANITRA",
        "middle_name": "LADAWN MONIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242007436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.