Individual provider Active NPI

Nibia B Joseph

  • Speech-Language Pathologist
  • Glenview, IL
National Provider Identifier
1710765102
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242.007638 Issued in IL
Practice address
2500 Indigo LN
Glenview, IL 60026-7797
Phone
(888) 960-8754
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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 242.007638 IL Primary

Addresses

Primary practice location

2500 Indigo LN
Glenview, IL 60026-7797

Mailing address

546 W Lorraine Ave
Elmhurst, IL 60126-1821
Phone (224) 637-0846

Other practice location 1

700 E Euclid Ave
Prospect Heights, IL 60070-3409
Phone (847) 797-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260616004090 IL Practitioner - Qualified Speech Language Pathologist 3375015720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Marquette University School of Dentistry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Speech Therapy, PLLCGroup PAC ID 5193190353, 7 clinicians

Practice addresses (Care Compare)

155 N Michigan Ave
Suite 208
Chicago, IL 60601-7940
Phone (708) 502-4889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
242.007638ILMDSpeech-Language Pathologist

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1710765102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 W LORRAINE AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261821",
            "telephone_number": "224-637-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 INDIGO LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600267797",
            "telephone_number": "888-960-8754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 E Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Prospect Heights",
            "state": "IL",
            "postal_code": "600703409",
            "country_code": "US",
            "telephone_number": "847-797-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "NIBIA",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.007638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.

Verify at the official NPI Registry.