Active NPI
Tina Vogel
- Speech-Language Pathologist
- Shelbyville, IL
National Provider Identifier
1154542751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- KY-3267
- Practice address
- 2201 W Main St
Shelbyville, IL 62565 - Phone
- (877) 978-2174
- NPI assigned
- May 1, 2007
- Last updated
- Dec 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | KY-3267 | KY | Primary |
Addresses
Primary practice location
2201 W Main St
Shelbyville, IL 62565
Mailing address
1115 N Wenthe Dr
Effingham, IL 62401
Phone (217) 347-7121
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15525 | NC | MD | Pharmacist |
| KY-3267 | KY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talsit, Inc | Speech-Language Pathologist | Past | Accepting new patients |
| Therapy Network | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
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 Talsit Therapy
- Case Manager/Care Coordinator
- Louisville, KY
- NPI 1346460011
Speech-Language Pathologist
-
- Speech-Language Pathologist
- Louisville, KY
- NPI 1891915591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1154542751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 N WENTHE DR",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "62401",
"telephone_number": "217-347-7121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 W MAIN ST",
"city": "SHELBYVILLE",
"state": "IL",
"postal_code": "62565",
"telephone_number": "877-978-2174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGEL",
"first_name": "TINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "KY-3267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelbyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.