Individual provider Active NPI

Amanda Jayne Hoppenrath, CCC-SLP

  • Speech-Language Pathologist
  • Frankfort, IL
National Provider Identifier
1962749465
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.006328 Issued in IL
Practice address
19960 S Pine Hill Rd
Frankfort, IL 60423-8369
Phone
(815) 464-5780
NPI assigned
Jan 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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 146.006328 IL Primary

Addresses

Primary practice location

19960 S Pine Hill Rd
Frankfort, IL 60423-8369

Mailing address

19960 S Pine Hill Rd
Frankfort, IL 60423-8369
Phone (815) 464-5780

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
146.006328ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1962749465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19960 S PINE HILL RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604238369",
            "telephone_number": "815-464-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19960 S PINE HILL RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604238369",
            "telephone_number": "815-464-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPENRATH",
        "first_name": "AMANDA",
        "middle_name": "JAYNE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.006328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.