Active NPI
Stephanie Lynn Neiswender, ST
- Speech-Language Pathologist
- Quincy, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146-007671
- Practice address
- 2137 Jersey St
Quincy, IL 62301-4339 - Phone
- (217) 430-4435
- NPI assigned
- Dec 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146-007671 | IL | Primary |
Addresses
Primary practice location
2137 Jersey St
Quincy, IL 62301-4339
Mailing address
2137 Jersey St
Quincy, IL 62301-4339
Phone (217) 430-4435
Other practice location 1
5 State and 8th Plz
Quincy, IL 62301-4960
Phone (217) 224-1750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146-007671 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Wellness Kansas City, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current | Accepting new patients | |
| Empowerme Rehabilitation Illinois, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Communicate Speech Therapy Services, PLLC | Speech-Language Pathologist | Current | Accepting new patients |
| First Choice Physical Therapy of Hannibal, LLC | Speech-Language Pathologist | Past | Accepting new patients |
| First Choice Physical Therapy | Speech-Language Pathologist | Past | Accepting new patients |
Locations
1021 W E St
Belleville, IL 62220
Phone (618) 233-2095
7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Quincy, IL
- NPI 1609594977
-
- Occupational Therapist
- Edwardsville, IL
- NPI 1679098263
Speech-Language Pathologist
-
- Multi-Specialty Clinic/Center
- Belleville, IL
- NPI 1174118103
Speech-Language Pathologist
-
- Rehabilitation Clinic/Center
- Mount Carmel, IL
- NPI 1962073734
Speech-Language Pathologist
-
- Rehabilitation Clinic/Center
- Liberty, MO
- NPI 1174299044
-
- Physical Therapist
- Quincy, IL
- NPI 1417387010
Speech-Language Pathologist
-
- Physical Therapist
- Hannibal, MO
- NPI 1871601088
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1013192863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2137 JERSEY ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623014339",
"telephone_number": "217-430-4435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2137 JERSEY ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623014339",
"telephone_number": "217-430-4435"
}
],
"practiceLocations": [
{
"address_1": "5 State and 8th Plz",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "IL",
"postal_code": "623014960",
"country_code": "US",
"telephone_number": "217-224-1750",
"fax_number": "217-224-0403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEISWENDER",
"first_name": "STEPHANIE",
"middle_name": "LYNN",
"credential": "ST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-28",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146-007671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.