NPIMap

Individual provider Active NPI

Meaghan Alice Moriarty, M.A.

  • Speech-Language Pathologist
  • Evanston, IL
National Provider Identifier
1699935494
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146009199 Issued in IL
Practice address
2315 Campus Dr
Evanston, IL 60208-3622
Phone
(847) 467-5608
NPI assigned
Jun 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146009199 IL Primary
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

2315 Campus Dr
Evanston, IL 60208-3622

Mailing address

6043 N Olympia Ave
Chicago, IL 60631-3825
Phone (773) 480-7706

Other practice location 1

7255 W Peterson Ave
Chicago, IL 60631-3622
Phone (773) 480-7706

Other practice location 2

6043 N Olympia Ave
Chicago, IL 60631-3825
Phone (773) 480-7706

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 Arts

State licenses

LicenseStateTypeSpecialty
146009199ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
High Five Kids, PLLC Speech-Language Pathologist Past Accepting new patients
Eb Pediatric Resources 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.

NPI Registry JSON

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

{
    "created_epoch": "1213488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1699935494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6043 N OLYMPIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313825",
            "telephone_number": "773-480-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 CAMPUS DR",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602083622",
            "telephone_number": "847-467-5608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7255 W Peterson Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606313622",
            "country_code": "US",
            "telephone_number": "773-480-7706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6043 N Olympia Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606313825",
            "country_code": "US",
            "telephone_number": "773-480-7706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORIARTY",
        "first_name": "MEAGHAN",
        "middle_name": "ALICE",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146009199",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.