Nicole Lucia Gedraitis, MHS,CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242.001197 Issued in IL

Practice address

7N127 Whispering TRL
Saint Charles, IL 60175-6366

Phone

(630) 229-7890

NPI assigned

Jun 25, 2009

Last updated

Sep 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Speech Suite 815

  • Speech-Language Pathologist
  • La Salle, IL
  • NPI 1366918682
  NPD (past) Authorized official

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537660800000",
    "number": "1902034127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MARY SENICA CT",
            "city": "LA SALLE",
            "state": "IL",
            "postal_code": "613019658",
            "telephone_number": "630-229-7890",
            "fax_number": "815-714-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7N127 WHISPERING TRL",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601756366",
            "telephone_number": "630-229-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDRAITIS",
        "first_name": "NICOLE",
        "middle_name": "LUCIA",
        "name_prefix": "Mrs.",
        "credential": "MHS,CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2018-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.001197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savanah Gayaldo
• Elizabeth Catherine Gaylor, LSCW
• Melanie Gayton, MA CCC-SLP
• Alan Gazdziak, RPH
• Heather Gearen, FNP LICENSE PENDING
• Bradley Gee, LCPC
• Genesis Orthopedics & Sports Medicine LLC
• Genesis Physical Therapy LLC
• Genesis Rehab Services
• Mary C Gensler, D.C.

• Speech-Language Pathologist in St Charles, IL
• Providers in St Charles, 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 Sep 23, 2018; 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.