Active NPI
Ellen Marie Ledesma, MHS
- Speech-Language Pathologist
- Oswego, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.010079
- Practice address
- 470 Grape Vine TRL
Suite 100
Oswego, IL 60543-6017 - Phone
- (630) 661-7253
- Fax
- (855) 765-7549
- NPI assigned
- Dec 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.010079 | IL | Primary |
Addresses
Primary practice location
470 Grape Vine TRL
Suite 100
Oswego, IL 60543-6017
Mailing address
470 Grape Vine TRL
Oswego, IL 60543-6017
Phone (630) 661-7253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
975 N 5TH Ave
St Charles, IL 60174-1299
Phone (630) 797-5115
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.010079 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Il LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Positive Outcomes Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Locations
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
7 Carnegie Plz
Cherry Hill, NJ 08003
Organizations & group practices 4
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.
-
- Physical Therapist
- Grayslake, IL
- NPI 1689141376
Speech-Language Pathologist
-
- Physical Therapist
- Westchester, IL
- NPI 1114443462
Speech-Language Pathologist
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
Speech-Language Pathologist
-
- Early Intervention Provider Agency
- Aurora, IL
- NPI 1528307113
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422921600000",
"number": "1750446142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 GRAPE VINE TRL",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605436017",
"telephone_number": "630-661-7253",
"fax_number": "855-765-7549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 GRAPE VINE TRL",
"address_2": "SUITE 100",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605436017",
"telephone_number": "630-661-7253",
"fax_number": "855-765-7549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDESMA",
"first_name": "ELLEN",
"middle_name": "MARIE",
"credential": "MHS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2015-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.010079",
"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 Feb 3, 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.