Candace Lynn Noonan, MS SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242.000490 Issued in IL

Practice address

311 Camelot Dr
Collinsville, IL 62234-4815

Phone

(618) 531-8800

NPI assigned

Jun 11, 2007

Last updated

Dec 7, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Abc Pediatric Therapy, LLC

  • Speech-Language Pathologist
  • O'Fallon, IL
  • NPI 1124044698
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1760685283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 EMERY ST",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622345003",
            "telephone_number": "618-531-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CAMELOT DR",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344815",
            "telephone_number": "618-531-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "634 N. Main Street",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "O'Fallon",
            "state": "IL",
            "postal_code": "622693733",
            "country_code": "US",
            "telephone_number": "618-632-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "CANDACE",
        "middle_name": "LYNN",
        "credential": "MS SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.000490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Andrew Munhofen, D.C.
• Carol O Muzzarelli, PHARMACIST
• National Vision Inc (America's Best Contacts & Eyeglasses)
• New Horizons Behavioral Health, LLC (St Louis Couples Therapy)
• Jennifer Ann Nicosia
• Natasha Savina Noronha
• Sarah Grace O'Grady, M.D.
• Laura O'Hara, PHD, CCC-SLP
• Tynesha Oden
• Steven Ogle, RPH

• Speech-Language Pathologist in Collinsville, IL
• Providers in Collinsville, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.