Individual provider Active NPI

Heidi M Harbers, PH.D., CCC-SLP

  • Speech-Language Pathologist
  • Normal, IL
National Provider Identifier
1134466220
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146004040 Issued in IL
Practice address
Eckelmann Taylor Speech and Hearing Clinic
Campus Box 4720
Normal, IL 61790-0001
Phone
(309) 438-8641
Fax
(309) 438-5221
NPI assigned
Jan 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146004040 IL Primary

Addresses

Primary practice location

Eckelmann Taylor Speech and Hearing Clinic
Campus Box 4720
Normal, IL 61790-0001

Mailing address

204 Fairchild HL
Campus Box 4720
Normal, IL 61790-4720
Phone (309) 438-5309

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
146004040ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1134466220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 FAIRCHILD HL",
            "address_2": "CAMPUS BOX 4720",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617904720",
            "telephone_number": "309-438-5309",
            "fax_number": "309-438-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ECKELMANN TAYLOR SPEECH AND HEARING CLINIC",
            "address_2": "CAMPUS BOX 4720",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617900001",
            "telephone_number": "309-438-8641",
            "fax_number": "309-438-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBERS",
        "first_name": "HEIDI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146004040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.