Individual provider Active NPI

Lacey Jean Landmeier, M.S. CF-SLP

  • Speech-Language Pathologist
  • Naperville, IL
National Provider Identifier
1730692468
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242.004745 Issued in IL
Practice address
1804 Centre Point Cir Ste 102
Naperville, IL 60563-4849
Phone
(630) 955-1940
NPI assigned
Nov 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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 242.004745 IL Primary

Addresses

Primary practice location

1804 Centre Point Cir Ste 102
Naperville, IL 60563-4849

Mailing address

148 N Sycamore St
Hinckley, IL 60520-9255
Phone (815) 762-9925

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

LicenseStateTypeSpecialty
242.004745ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1730692468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 N SYCAMORE ST",
            "city": "HINCKLEY",
            "state": "IL",
            "postal_code": "605209255",
            "telephone_number": "815-762-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 CENTRE POINT CIR STE 102",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634849",
            "telephone_number": "630-955-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDMEIER",
        "first_name": "LACEY",
        "middle_name": "JEAN",
        "name_prefix": "Miss",
        "credential": "M.S. CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.004745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.