Lesley Shanks, M.A., CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242005099 Issued in IL

Practice address

4812 Pfeiffer Rd
Bartonville, IL 61607-2647

Phone

(309) 697-0880

NPI assigned

Nov 14, 2018

Last updated

Nov 14, 2018By the provider in NPPES

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

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Augustana College

  dba Augustana College Center for Speech, Language, and Hearing

  • Audiologist-Hearing Aid Fitter
  • Rock Island, IL
  • NPI 1831433416

  Single Specialty

  Medicare reassignment NPD
• Oak Grove School Dist 68

  • Local Education Agency (LEA)
  • Bartonville, IL
  • NPI 1467654939
  NPD (past)
• Spec Ed Assoc of Peoria County

  • Local Education Agency (LEA)
  • Bartonville, IL
  • NPI 1932301496
  NPD (past)

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1831668391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 W SHOREWOOD CT",
            "city": "DUNLAP",
            "state": "IL",
            "postal_code": "615259542",
            "telephone_number": "815-517-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 PFEIFFER RD",
            "city": "BARTONVILLE",
            "state": "IL",
            "postal_code": "616072647",
            "telephone_number": "309-697-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "LESLEY",
        "credential": "M.A., CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242005099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Proctor Health Systems (Associated Family Physicians)
• Sara Rearden
• Richardson Counseling Center
• Michael John Sanders, M.D.
• Shanell's Psychiatry Care
• Spec Ed Assoc of Peoria County
• Weronika Taraszka, PHARM.D.
• Allyson Brook Taylor
• Tity Varghese
• Alaina Varnes

• Speech-Language Pathologist in Bartonville, IL
• Providers in Bartonville, 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 Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.