Nancy K Brodson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146005243 Issued in IL

Practice address

2615 W Lincoln Rd
McHenry, IL 60051-3639

Phone

(815) 385-4421

NPI assigned

Jan 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1770090813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SOUTHFIELD DR",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600613277",
            "telephone_number": "847-668-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 W LINCOLN RD",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600513639",
            "telephone_number": "815-385-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODSON",
        "first_name": "NANCY",
        "middle_name": "K",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146005243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235Z00000X",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David M Bresler, PHARM D
• Niki Briggs, LPC
• Jennifer Taylor Brinkman, LSW
• Jacqueline L Bristen
• Jaci Alexis Broderick
• Madonna Marie Broquet, PTA
• Daisha Brown
• Jamonique Ashanti Brown
• Tamika I Brown
• Jeanne Marie Browning, MS, APN, CHTP

• Speech-Language Pathologist in McHenry, IL
• Providers in McHenry, 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 Jan 10, 2018; 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.