Individual provider Active NPI

Jessica Katherine Patnoudes, SLP

  • Speech-Language Pathologist
  • Oswego, IL
National Provider Identifier
1750410601
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146007726 Issued in IL
Practice address
809 Barton Dr
Oswego, IL 60543-7735
Phone
(708) 738-0852
Fax
(815) 723-2455
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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 146007726 IL Primary

Addresses

Primary practice location

809 Barton Dr
Oswego, IL 60543-7735

Mailing address

809 Barton Dr
Oswego, IL 60543-7735
Phone (708) 738-0852

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
146007726ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Talkers, Speech and Language Therapy, LLC Speech-Language Pathologist PastSince Mar 22, 2020 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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1750410601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 BARTON DR",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437735",
            "telephone_number": "708-738-0852",
            "fax_number": "815-723-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 BARTON DR",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437735",
            "telephone_number": "708-738-0852",
            "fax_number": "815-723-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATNOUDES",
        "first_name": "JESSICA",
        "middle_name": "KATHERINE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146007726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.