Active NPI
Melissa Simpson
- Speech-Language Pathologist
- Benton, IL
National Provider Identifier
1114342144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.011907
- Practice address
- 1409 N Main St
Benton, IL 62812-1918 - Phone
- (618) 435-2712
- NPI assigned
- Feb 27, 2014
- 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 | 146.011907 | IL | Primary |
Addresses
Primary practice location
1409 N Main St
Benton, IL 62812-1918
Mailing address
84 Skiers Run
Benton, IL 62812-4493
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.011907 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393459200000",
"number": "1114342144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 SKIERS RUN",
"city": "BENTON",
"state": "IL",
"postal_code": "628124493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 N MAIN ST",
"city": "BENTON",
"state": "IL",
"postal_code": "628121918",
"telephone_number": "618-435-2712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-27",
"last_updated": "2014-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.011907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton, IL
- Jacqueline Schofield
- Annalee Schuette
- Melissa Schultz, RN
- Select Physical Therapy Holdings, Inc.
- Mallory Brooke Shreves, PTA
- Southern Illinois Hospital Services
- Southern Illinois Medical Services, NFP
- Southern Illinois Medical Services, NFP
- Southern Illinois Sport and Spine LLC
- Southern Illinois Therapy Services, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.