Active NPI
Lindsay Diekhoff, SLP
- Speech-Language Pathologist
- Pekin, IL
National Provider Identifier
1265773774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146008274
- Practice address
- 2988 Court St
Pekin, IL 61554-6229 - Phone
- (309) 353-5940
- Fax
- (309) 353-1654
- NPI assigned
- Mar 7, 2013
- 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 | 146008274 | IL | Primary |
Addresses
Primary practice location
2988 Court St
Pekin, IL 61554-6229
Mailing address
275 S University St
Normal, IL 61761
Phone (309) 438-8641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois State University | Current | Accepting new patients | |
| Brendon J Johnson, OD, PC | Past | Accepting new patients | |
| Professional Therapy Services, Inc | Speech-Language Pathologist | Past | Accepting new patients |
Locations
4720 Campus
Normal, IL 61790
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 and National Provider Directory roles.
-
dba Speech & Hearing Clinic
- Audiologist-Hearing Aid Fitter
- Normal, IL
- NPI 1669616983
-
- Optometrist
- Pekin, IL
- NPI 1568647790
-
- Physical Therapist
- Pekin, IL
- NPI 1578615225
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1265773774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 S UNIVERSITY ST",
"city": "NORMAL",
"state": "IL",
"postal_code": "61761",
"telephone_number": "309-438-8641",
"fax_number": "309-438-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2988 COURT ST",
"city": "PEKIN",
"state": "IL",
"postal_code": "615546229",
"telephone_number": "309-353-5940",
"fax_number": "309-353-1654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEKHOFF",
"first_name": "LINDSAY",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-07",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146008274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pekin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.