Diane Kalemba-Gassman, CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146002340 Issued in IL

Practice address

1122 N 2803Rd Rd
Utica, IL 61373-9753

Phone

(815) 790-8553

NPI assigned

Jan 2, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Get on Track, Inc

  • Speech-Language Pathologist
  • Utica, IL
  • NPI 1780769521
  NPD (past) Authorized official

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1801284591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 N 2803RD RD",
            "city": "UTICA",
            "state": "IL",
            "postal_code": "613739753",
            "telephone_number": "815-790-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 N 2803RD RD",
            "city": "UTICA",
            "state": "IL",
            "postal_code": "613739753",
            "telephone_number": "815-790-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALEMBA-GASSMAN",
        "first_name": "DIANE",
        "credential": "CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146002340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellsie A Edgcomb, OT
• Julie M Flanagan, ACNS, BC
• Get on Track, Inc
• Barbara Ann Harte
• Illinois Urologic Health Surgeons SC
• Martina Kotrba, PA
• Nicole B Kowalczyk, LCPC
• Michael Kenneth Nelson, LCSW
• Premise Health of Illinois Medical PC
• Mahmoud Salameh, DMD

• All providers in Utica, IL
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.