Individual provider Active NPI

Madison Marie Virden, M.S. CF-SLP

  • Speech-Language Pathologist
  • Naperville, IL
National Provider Identifier
1942924246
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242.006823 Issued in IL
Practice address
875 Benedetti Dr Apt 101
Naperville, IL 60563-8938
Phone
(618) 925-4373
NPI assigned
Sep 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 242.006823 IL Primary

Addresses

Primary practice location

875 Benedetti Dr Apt 101
Naperville, IL 60563-8938

Mailing address

875 Benedetti Dr Apt 101
Naperville, IL 60563-8938
Phone (618) 925-4373

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
242.006823ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1942924246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 BENEDETTI DR APT 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638938",
            "telephone_number": "618-925-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 BENEDETTI DR APT 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638938",
            "telephone_number": "618-925-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRDEN",
        "first_name": "MADISON",
        "middle_name": "MARIE",
        "credential": "M.S. CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.006823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.