Active NPI
Asone Speech Therapy, PLLC
- Hearing and Speech Clinic/Center
- Bloomington, IL
National Provider Identifier
1063109734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- Legal business name
- ASONE SPEECH THERAPY, PLLC
- Practice address
- 10 Everett CT
Bloomington, IL 61705-6557 - Phone
- (309) 204-4961
- Fax
- (844) 777-1755
- NPI assigned
- Apr 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Anne M Fulton, SLP-CCC
- Title
- Owner/Lead Therapist
- Phone
- (309) 204-4961
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | Primary |
Addresses
Primary practice location
10 Everett CT
Bloomington, IL 61705-6557
Mailing address
1900 E College Ave Ste A168
Normal, IL 61761-4507
Phone (309) 204-4961
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Bloomington, IL
- NPI 1831552512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682985600000",
"number": "1063109734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 E COLLEGE AVE STE A168",
"city": "NORMAL",
"state": "IL",
"postal_code": "617614507",
"telephone_number": "309-204-4961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 EVERETT CT",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617056557",
"telephone_number": "309-204-4961",
"fax_number": "844-777-1755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASONE SPEECH THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-21",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A",
"authorized_official_last_name": "FULTON",
"authorized_official_first_name": "ANNE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/LEAD THERAPIST",
"authorized_official_telephone_number": "309-204-4961",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "SLP-CCC"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.