Individual provider Active NPI

Tamara L Siebert, MS-CCC/SLP

  • Speech-Language Pathologist
  • Vandalia, IL
National Provider Identifier
1285143107
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1017 W Fletcher St
Vandalia, IL 62471-1007
Phone
(618) 283-5166
Fax
(618) 283-9479
NPI assigned
Sep 22, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 Primary

Addresses

Primary practice location

1017 W Fletcher St
Vandalia, IL 62471-1007

Mailing address

1017 W Fletcher St
Vandalia, IL 62471-1007

Other practice location 1

702 W 6th St
Ramsey, IL 62080-0010
Phone (618) 423-2333

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

NPI Registry JSON

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285143107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 W FLETCHER ST",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 W FLETCHER ST",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711007",
            "telephone_number": "618-283-5166",
            "fax_number": "618-283-9479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "702 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Ramsey",
            "state": "IL",
            "postal_code": "620800010",
            "country_code": "US",
            "telephone_number": "618-423-2333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEBERT",
        "first_name": "TAMARA",
        "middle_name": "L",
        "credential": "MS-CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.