Individual provider Active NPI

Andrea Crabtree, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Elk Grove Village, IL
National Provider Identifier
1720452683
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.005096 Issued in IL
Practice address
1010 Savoy CT
Elk Grove Village, IL 60007-3484
Phone
(847) 361-0955
NPI assigned
Nov 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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 146.005096 IL Primary

Addresses

Primary practice location

1010 Savoy CT
Elk Grove Village, IL 60007-3484

Mailing address

1010 Savoy CT
Elk Grove Village, IL 60007-3484
Phone (847) 361-0955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240510000067 IL Practitioner - Qualified Speech Language Pathologist 8426496837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paxxon Healthcare Services LLCGroup PAC ID 8325959554, 153 clinicians

Practice addresses (Care Compare)

1111 S Linneman Rd
Mount Prospect, IL 60056-4128
Phone (844) 913-3553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
146.005096ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Paxxon Healthcare Services LLC CurrentSince Mar 13, 2024 Accepting new patients
Paxxon Healthcare Services LLC Speech-Language Pathologist CurrentSince Mar 13, 2024 Accepting new patients

Locations

1111 S Linneman Rd
Mt Prospect, IL 60056
Phone (844) 913-3553

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": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1720452683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 SAVOY CT",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073484",
            "telephone_number": "847-361-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SAVOY CT",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073484",
            "telephone_number": "847-361-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRABTREE",
        "first_name": "ANDREA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.005096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.