Active NPI
Faheeda Khan
- Speech-Language Pathologist
- Springfield, IL
National Provider Identifier
1043955677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 3520 Old Jacksonville Rd
Springfield, IL 62711-8353 - Phone
- (217) 275-2593
- NPI assigned
- Apr 28, 2022
- 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 | Primary |
Addresses
Primary practice location
3520 Old Jacksonville Rd
Springfield, IL 62711-8353
Mailing address
1335 Strassner Dr
Saint Louis, MO 63144-1872
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Missouri LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Rehabilitation Missouri LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1021 W E St
Belleville, IL 62220
Phone (618) 233-2095
3002 John Duffy Dr
Joplin, MO 64804
Phone (417) 553-9767
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Saint Charles, MO
- NPI 1417479494
Speech-Language Pathologist
-
- Rehabilitation Clinic/Center
- Columbia, MO
- NPI 1558932327
Speech-Language Pathologist
-
- Multi-Specialty Clinic/Center
- Kansas City, MO
- NPI 1083208391
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651104000000",
"number": "1043955677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 STRASSNER DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631441872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 OLD JACKSONVILLE RD",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627118353",
"telephone_number": "217-275-2593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "FAHEEDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-28",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.