Individual provider Active NPI

Sayida Baste, SLP

  • Speech-Language Pathologist
  • Oak Lawn, IL
National Provider Identifier
1790064590
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.011442 Issued in IL
Practice address
6500 W 95TH St
Oak Lawn, IL 60453-2167
Phone
(708) 599-5550
NPI assigned
Aug 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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 146.011442 IL Primary

Addresses

Primary practice location

6500 W 95TH St
Oak Lawn, IL 60453-2167

Mailing address

6500 W 95TH St
Oak Lawn, IL 60453-2167
Phone (708) 599-5550

Other practice location 1

8821 W 97th St
Palos Hills, IL 60465-1012
Phone (708) 772-2002

Other practice location 2

14225 S 95th Ave Ste 153
Orland Park, IL 60462-2265
Phone (815) 469-1500

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
146.011442ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgeland SCH Dist 122 PastSince Jun 21, 2022 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": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1790064590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532167",
            "telephone_number": "708-599-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532167",
            "telephone_number": "708-599-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8821 W 97th St",
            "address_purpose": "LOCATION",
            "city": "Palos Hills",
            "state": "IL",
            "postal_code": "604651012",
            "country_code": "US",
            "telephone_number": "708-772-2002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14225 S 95th Ave Ste 153",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604622265",
            "country_code": "US",
            "telephone_number": "815-469-1500",
            "fax_number": "708-787-0958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASTE",
        "first_name": "SAYIDA",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.011442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.