Active NPI
Lindsay Marie Harris
- Speech-Language Pathologist
- Alton, IL
National Provider Identifier
1831615921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146012689
- Practice address
- 4200 Humbert Rd
Alton, IL 62002-7117 - Phone
- (618) 474-2700
- NPI assigned
- Aug 21, 2017
- 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 | 146012689 | IL | Primary |
Addresses
Primary practice location
4200 Humbert Rd
Alton, IL 62002-7117
Mailing address
4200 Humbert Rd
Alton, IL 62002-7117
Phone (618) 474-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146012689 | Medicaid | IL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 146012689 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1831615921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 HUMBERT RD",
"city": "ALTON",
"state": "IL",
"postal_code": "620027117",
"telephone_number": "618-474-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 HUMBERT RD",
"city": "ALTON",
"state": "IL",
"postal_code": "620027117",
"telephone_number": "618-474-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "LINDSAY",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146012689",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146012689",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.