Active NPI
Rebecca Elizabeth Medrano, MS,CCC-SLP
- Speech-Language Pathologist
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22008865A
- Practice address
- 516 Court St Ste a
Evansville, IN 47708-1340 - Phone
- (812) 485-2100
- NPI assigned
- Jul 23, 2024
- Last updated
- Sep 23, 2024
- 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 | 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary's Health, Inc | Current | Accepting new patients | |
| Deaconess Women's Hospital of Southern in, LLC | Past | Accepting new patients | |
| High Pointe Rehab Services, PC | Past | 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.
-
dba Ascension St. Vincent Evansville
- Internal Medicine Physician
- Evansville, IN
- NPI 1497706287
-
- Pediatric Physical Therapist
- Newburgh, IN
- NPI 1023233137
-
- Physical Therapy Clinic/Center
- Newburgh, IN
- NPI 1336234152
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.