Colleen Elizabeth Regnier, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.013384 Issued in IL

Practice address

117 W Livingston St
Pontiac, IL 61764-1821

Phone

(815) 844-3023

NPI assigned

Dec 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Colleen Elizabeth Peters Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1003321076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 N 875TH RD",
            "city": "WENONA",
            "state": "IL",
            "postal_code": "613779307",
            "telephone_number": "217-714-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W LIVINGSTON ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641821",
            "telephone_number": "815-844-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGNIER",
        "first_name": "COLLEEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.013384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "PETERS",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "MS CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• John C Purnell, MD
• Rosa Quellhorst
• Sasha L Radford, O.D.
• Jacklyn M Ralph, MHP
• Lily Ramsey, LSW
• Jaime Ridgway, OTR L
• John Rinker, DO
• John Michael Rinker, M.D.
• Judy Ripsch
• Amanda B Rockey, LCPC

• Speech-Language Pathologist in Pontiac, IL
• Providers in Pontiac, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.