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Amanda L Gromnicki

Speech-Language Pathologist β€’ Kankakee, IL

Active NPI 1972069730 Individual Practitioner Female Practitioner
Practice location in NPPES

200 E Court St Ste 708
Kankakee, IL 609013845

Call 8153045548 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

200 E Court St Ste 708

Kankakee, IL 609013845

Telephone 8153045548
Organization at the Same NPPES Address or Phone
Yakos Therapy Pc Facility NPI 1992132849

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Frankfort, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Kankakee and Illinois

24 active clinicians are listed under Speech-Language Pathologist with a practice address in Kankakee, IL (10,226 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Kankakee

0% of these 24 clinicians have the CMS telehealth indicator.

0% of these 24 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-11-27
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES IL 146.015162

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Secondary Practice Locations

10480 Nebraska St

Frankfort, IL 604232235

Phone: 8154693366

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Business Mailing Address November 27, 2023

Registered at 19715 S SKYE DR, FRANKFORT, IL 604238801 (Tel: 8155796311)

πŸ‘€
Provider Name / Credentials Updated November 27, 2023

Recorded as AMANDA GROMNICKI

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2023

Speech-Language Pathologist (license number reported to NPPES: IL 146.015162)

βœ…
NPI Profile Active February 18, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 18, 2019

Registered at 200 E COURT ST STE 708, KANKAKEE, IL 609013845 (Tel: 8153045548)

πŸ“
Business Mailing Address (Initial Record) February 18, 2019

Registered at 740 O CONNELL ST, NEW LENOX, IL 604512935 (Tel: 8155796311)

πŸ‘€
Provider Name / Credentials (Initial Record) February 18, 2019

Recorded as AMANDA PETERSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2019

Speech-Language Pathologist (license number reported to NPPES: IL 242.005210)

🟒
Initial NPI Registration & Enumeration February 18, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1972069730
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2019
Last Update: November 27, 2023
Sole Proprietor: No

Mailing Address

19715 S Skye Dr

Frankfort, IL 604238801

Phone: 8155796311

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.