Active NPI
Tanja Noren, M.S.
- Speech-Language Pathologist
- Forest Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242006077
- Practice address
- 537 Ferdinand Ave
Forest Park, IL 60130-1803 - Phone
- (773) 914-4848
- NPI assigned
- Aug 20, 2020
- Last updated
- Aug 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 242006077 | IL | Primary |
Addresses
Primary practice location
537 Ferdinand Ave
Forest Park, IL 60130-1803
Mailing address
537 Ferdinand Ave
Forest Park, IL 60130-1803
Phone (773) 914-4848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1335 Stranssner Dr
Brentwood, MO 63144-1872
400 NJ -
Suite 70
Lakewood, NJ 08701-5288
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242006077 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Home by Enhance Therapies LLC | Single Specialty | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Single Specialty | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current | Accepting new patients |
Locations
1021 W E St
Belleville, IL 62220
Phone (618) 233-2095
7358 N Lincoln Ave
Ste 160
Lincolnwood, IL 60712
Phone (847) 983-8750
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Belleville, IL
- NPI 1174118103
Single Specialty
-
- Physical Therapist
- Lakewood, NJ
- NPI 1124603246
IL, Single Specialty
-
- Rehabilitation Clinic/Center
- Liberty, MO
- NPI 1174299044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1871105734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 FERDINAND AVE",
"city": "FOREST PARK",
"state": "IL",
"postal_code": "601301803",
"telephone_number": "773-914-4848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 FERDINAND AVE",
"city": "FOREST PARK",
"state": "IL",
"postal_code": "601301803",
"telephone_number": "773-914-4848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOREN",
"first_name": "TANJA",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-20",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242006077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.