Organization Active NPI

Tis Challenging Speech

Doing business as Jeanne Byers Spraetz

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Savanna, IL
National Provider Identifier
1871569368
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
686816 Issued in FL
Legal business name
TIS CHALLENGING SPEECH
Doing business as
Jeanne Byers Spraetz
Practice address
1706 Superior Ave
Savanna, IL 61074-2424
Phone
(815) 541-1857
Fax
(815) 273-4354
NPI assigned
Feb 24, 2006
Last updated
Jul 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Jeanne Rane Byers Spraetz, MA CCC SLPNPI 1750357562
Title
Speech Pathologist Admin
Phone
(815) 541-1857

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 686816 FL Primary

Addresses

Primary practice location

1706 Superior Ave
Savanna, IL 61074-2424

Mailing address

1706 Superior Ave
Savanna, IL 61074-2424
Phone (815) 541-1857

Other identifiers 3

IdentifierTypeStateIssuer
890410300MedicaidFL
146589OtherILMEDICARE OTHER
346488095MedicaidIL

Other names 1

  • Jeanne Byers Spraetz Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jeanne Byers Spraetz2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1871569368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 SUPERIOR AVE",
            "city": "SAVANNA",
            "state": "IL",
            "postal_code": "610742424",
            "telephone_number": "815-541-1857",
            "fax_number": "561-994-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 SUPERIOR AVE",
            "city": "SAVANNA",
            "state": "IL",
            "postal_code": "610742424",
            "telephone_number": "815-541-1857",
            "fax_number": "815-273-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIS CHALLENGING SPEECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "BYERS SPRAETZ",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "RANE",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST ADMIN",
        "authorized_official_telephone_number": "815-541-1857",
        "authorized_official_credential": "MA CCC SLP"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": "686816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890410300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OTHER",
            "identifier": "146589",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346488095",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeanne Byers Spraetz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savanna, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.