Individual provider Active NPI

Rebecca Elizabeth Medrano, MS,CCC-SLP

  • Speech-Language Pathologist
  • Evansville, IN
National Provider Identifier
1144058942
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22008865A Issued in IN
Practice address
516 Court St Ste a
Evansville, IN 47708-1340
Phone
(812) 485-2100
NPI assigned
Jul 23, 2024
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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 22008865A IN Primary

Addresses

Primary practice location

516 Court St Ste a
Evansville, IN 47708-1340

Mailing address

516 Court St Ste a
Evansville, IN 47708-1340

Other practice location 1

4199 Gateway Blvd Ste 3800
Newburgh, IN 47630-8940
Phone (812) 842-2820

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)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Health, Inc Current Accepting new patients
Deaconess Women's Hospital of Southern in, LLC PastSince Jul 1, 2024 Accepting new patients
High Pointe Rehab Services, PC PastSince Jul 1, 2024 Accepting new patients

Locations

5927 Reliable Pkwy
Chicago, IL 60686

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

516 Court St
#A
Evansville, IN 47708
Phone (812) 485-2100

250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1144058942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 COURT ST STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 COURT ST STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081340",
            "telephone_number": "812-485-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4199 Gateway Blvd Ste 3800",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476308940",
            "country_code": "US",
            "telephone_number": "812-842-2820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "REBECCA",
        "middle_name": "ELIZABETH",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22008865A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.