Individual provider Active NPI

Jeanne Rane Byers Spraetz, MA CCC SLP

  • Speech-Language Pathologist
  • Savanna, IL
National Provider Identifier
1750357562
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146 003582 Issued in IL
Practice address
1706 Superior Ave
Savanna, IL 61074-2424
Phone
(815) 541-1857
Fax
(815) 273-4354
NPI assigned
Feb 23, 2006
Last updated
Feb 25, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA 7563 FL
Speech-Language Pathologist 235Z00000X 146 003582 IL Primary
Speech-Language Pathologist 235Z00000X 00805 IA
Speech-Language Pathologist 235Z00000X 363 154 WI

Addresses

Primary practice location

1706 Superior Ave
Savanna, IL 61074-2424

Mailing address

1706 Superior Ave
Savanna, IL 61074-2424
Phone (815) 541-1857

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SA 7563FLMDSpeech-Language Pathologist
146 003582ILMDSpeech-Language Pathologist
363 154WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tis Challenging Speech Past Accepting new patients
Tis Challenging Speech Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1750357562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 SUPERIOR AVE",
            "city": "SAVANNA",
            "state": "IL",
            "postal_code": "610742424",
            "telephone_number": "815-541-1857",
            "fax_number": "815-273-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 SUPERIOR AVE",
            "city": "SAVANNA",
            "state": "IL",
            "postal_code": "610742424",
            "telephone_number": "815-541-1857",
            "fax_number": "815-273-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYERS SPRAETZ",
        "first_name": "JEANNE",
        "middle_name": "RANE",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 7563",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146 003582",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "00805",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "363 154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savanna, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.