Individual provider Active NPI

Monica Herrera, DT, SLP

  • Speech-Language Pathologist
  • Plainfield, IL
National Provider Identifier
1740464122
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242.004316 Issued in IL
Practice address
13400 S Route 59 Ste 116-326
Plainfield, IL 60585-5696
Phone
(773) 383-9539
Fax
(815) 254-0217
NPI assigned
Dec 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X IL
Speech-Language Pathologist 235Z00000X 242.004316 IL Primary

Addresses

Primary practice location

13400 S Route 59 Ste 116-326
Plainfield, IL 60585-5696

Mailing address

1204 Bluejay LN
None
Plainfield, IL 60586-2461
Phone (773) 383-9539

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
242.004316ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiny Bloomers Therapy, Inc. Past 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": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1740464122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 BLUEJAY LN",
            "address_2": "NONE",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605862461",
            "telephone_number": "773-383-9539",
            "fax_number": "815-254-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 S ROUTE 59 STE 116-326",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605855696",
            "telephone_number": "773-383-9539",
            "fax_number": "815-254-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "MONICA",
        "name_prefix": "Mrs.",
        "credential": "DT, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.004316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.