Diane Schaffer-Vandenborre

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146000401 Issued in IL

Practice address

121 N Knox St
Princeton, IL 61356-1616

Phone

(815) 626-3300

Fax

(815) 626-3300

NPI assigned

Oct 25, 2017

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1124530571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N KNOX ST",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613561616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N KNOX ST",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613561616",
            "telephone_number": "815-626-3300",
            "fax_number": "815-626-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFER-VANDENBORRE",
        "first_name": "DIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146000401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lee Reynolds, D.D.S.
• Rebekka J Root, FNP
• Robin L Rose, APRN, FNP-BC
• Petrita Laverne Salazar, LCPC
• Miles Todd Salsman, C.R.N.A.
• Patricia Elizabeth Schofield, L.C.S.W.
• Michelle Leigh Schramm, PHARMD
• Emily Schultz
• Lori A. Schultz, D.C.
• Sara N Scruggs, LCSW

• All providers in Princeton, IL
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.