Individual provider Active NPI

Rena Johnette Cureton, CCC-SLP/L

  • Speech-Language Pathologist
  • Lansing, IL
National Provider Identifier
1922294065
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.008854 Issued in IL
Practice address
3363 171St St
Lansing, IL 60438-1105
Phone
(708) 560-4235
Fax
(708) 418-8620
NPI assigned
Sep 22, 2007
Last updated
Oct 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 46001604A IN
Speech-Language Pathologist 235Z00000X 146.008854 IL Primary

Addresses

Primary practice location

3363 171St St
Lansing, IL 60438-1105

Mailing address

PO Box 5105
Lansing, IL 60438-5105
Phone (708) 560-4235

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
146.008854ILMDSpeech-Language Pathologist
46001604AINMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1190419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1922294065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604385105",
            "telephone_number": "708-560-4235",
            "fax_number": "708-418-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3363 171ST ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604381105",
            "telephone_number": "708-560-4235",
            "fax_number": "708-418-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURETON",
        "first_name": "RENA",
        "middle_name": "JOHNETTE",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-22",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46001604A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.008854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.