Susan Guthrie, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.006391 Issued in IL

Practice address

14975 E Bakerville Rd
Mount Vernon, IL 62864-7100

Phone

(618) 244-8070

NPI assigned

Sep 26, 2017

Last updated

Sep 26, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spring Garden Community Consolidated School District #178

  • Student Health Clinic/Center
  • Mount Vernon, IL
  • NPI 1326494261
  NPD (past)
• Spring Garden Community Consolidated School District #178

  • Student Health Clinic/Center
  • Mount Vernon, IL
  • NPI 1881724565
  NPD (past)

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506384000000",
    "number": "1093224727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17201 E THOMPSON RD",
            "city": "OPDYKE",
            "state": "IL",
            "postal_code": "628722347",
            "telephone_number": "618-242-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14975 E BAKERVILLE RD",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628647100",
            "telephone_number": "618-244-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "SUSAN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.006391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Grubbs, MHP
• Vicente A Gueco, MD
• Anil Gupta, M.D.
• Veena Kawatra Gupta, M.D.
• Shelby Guthrie, FNP
• Jamie Hackmann, MSW, CADC
• Braedon Haertling, PA-C
• Devin D Haertling, PA-C
• Whitney Hake
• Sharon Lynn Hale

• Speech-Language Pathologist in Mount Vernon, IL
• Providers in Mount Vernon, 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 Sep 26, 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.