Individual provider Active NPI

Jaidin Winfield

  • Speech-Language Assistant
  • North Riverside, IL
National Provider Identifier
1871314930
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
146017985 Issued in IL
Practice address
7222 W Cermak Rd Ste 410
North Riverside, IL 60546-1422
Phone
(708) 442-0023
NPI assigned
Oct 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 146017985 IL Primary

Addresses

Primary practice location

7222 W Cermak Rd Ste 410
North Riverside, IL 60546-1422

Mailing address

2976 Desplaines Ave
North Riverside, IL 60546-1881
Phone (630) 670-4086

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
146017985ILMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colors of Hope CurrentSince Nov 17, 2024 Accepting new patients
Smart Moves Pediatrics PastSince Oct 27, 2024 Accepting new patients

Locations

7222 W Cermak Rd
Ste 410
Riverside, IL 60546
Phone (708) 442-0023

Organizations & group practices 2

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": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1871314930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2976 DESPLAINES AVE",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461881",
            "telephone_number": "630-670-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7222 W CERMAK RD STE 410",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461422",
            "telephone_number": "708-442-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINFIELD",
        "first_name": "JAIDIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "IL",
            "license": "146017985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Riverside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.