Individual provider Active NPI

Stephanie Meehan

  • Speech-Language Pathologist
  • Lawrence, KS
National Provider Identifier
1972904712
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3268 Issued in KS
Practice address
2105 Haworth
1200 Sunnyside Ave.
Lawrence, KS 66045-7600
Phone
(785) 864-0649
NPI assigned
Sep 11, 2014
Last updated
Oct 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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 3268 KS Primary
Speech-Language Pathologist 235Z00000X 146.018274 IL

Addresses

Primary practice location

2105 Haworth
1200 Sunnyside Ave.
Lawrence, KS 66045-7600

Mailing address

2105 Haworth
1200 Sunnyside Ave.
Lawrence, KS 66045-7600
Phone (785) 864-0649

Other practice location 1

5525 S Pulaski Rd
Chicago, IL 60629-4400
Phone (312) 802-3141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250902003913 IL Practitioner - Qualified Speech Language Pathologist 5193008837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of Kansas School of Med (KC/Wich/Sal), 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7732 Solution Ctr
Chicago, IL 60677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3268KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Jul 16, 2025 Accepting new patients
The Board of Trustees of the University of Illinois Speech-Language Pathologist CurrentSince Jul 16, 2025 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Board of Trustees of the University of Illinois Past Accepting new patients

Locations

1640 W Roosevelt Rd
#727
Chicago, IL 60608
Phone (312) 413-1871

5525 S Pulaski Rd
Chicago, IL 60629
Phone (773) 432-0100

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1972904712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 HAWORTH",
            "address_2": "1200 SUNNYSIDE AVE.",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660457600",
            "telephone_number": "785-864-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 HAWORTH",
            "address_2": "1200 SUNNYSIDE AVE.",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660457600",
            "telephone_number": "785-864-0649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5525 S Pulaski Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606294400",
            "country_code": "US",
            "telephone_number": "312-802-3141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEEHAN",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "3268",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.018274",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.