Individual provider Active NPI

Ashleigh Doub, SLP

  • Speech-Language Pathologist
  • Champaign, IL
National Provider Identifier
1285355834
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1907 W Springfield Ave Ste B
Champaign, IL 61821-3098
Phone
(217) 898-8393
Fax
(217) 633-4553
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

1907 W Springfield Ave Ste B
Champaign, IL 61821-3098

Mailing address

1907 W Springfield Ave Ste B
Champaign, IL 61821-3098
Phone (217) 898-8393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221103000642 IL Practitioner - Qualified Speech Language Pathologist 3870960826 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chambana Urgent Care and Walk in Clinic CurrentSince Nov 1, 2023 Accepting new patients
Savoy Therapy Services Inc CurrentSince Oct 1, 2022 Accepting new patients

Locations

1907 W Springfield Ave
Ste B
Champaign, IL 61821
Phone (217) 898-8393

415 N Dunlap Ave
Unit 452
Savoy, IL 61874
Phone (217) 898-8393

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1285355834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 W SPRINGFIELD AVE STE B",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618213098",
            "telephone_number": "217-898-8393",
            "fax_number": "217-633-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 W SPRINGFIELD AVE STE B",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618213098",
            "telephone_number": "217-898-8393",
            "fax_number": "217-633-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUB",
        "first_name": "ASHLEIGH",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.

Verify at the official NPI Registry.