Active NPI
Rachel Adrianne Pauls, MS, SLP
- Speech-Language Pathologist
- Johnston City, IL
National Provider Identifier
1295020493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1108 Grand Ave
Johnston City, IL 62951-1229 - Phone
- (618) 983-7561
- NPI assigned
- Jun 15, 2011
- Last updated
- Mar 17, 2018
- 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 | Primary |
Addresses
Primary practice location
1108 Grand Ave
Johnston City, IL 62951-1229
Mailing address
208 Olivia Dr
Marion, IL 62959-1385
Phone (270) 970-1275
Other practice location 1
420 E Main St
Marion, IL 62959-2669
Phone (618) 993-8534 ext. 266
Other practice location 2
924 S Commercial St
Harrisburg, IL 62946-2637
Phone (618) 252-7171
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joyner Therapy Services | Past | Accepting new patients | |
| Joyner Therapy Services | 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.
-
- Physical Therapy Clinic/Center
- Marion, IL
- NPI 1144416736
-
- Physical Therapy Clinic/Center
- Golconda, IL
- NPI 1811948201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1295020493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 OLIVIA DR",
"city": "MARION",
"state": "IL",
"postal_code": "629591385",
"telephone_number": "270-970-1275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 GRAND AVE",
"city": "JOHNSTON CITY",
"state": "IL",
"postal_code": "629511229",
"telephone_number": "618-983-7561"
}
],
"practiceLocations": [
{
"address_1": "420 E Main St",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "IL",
"postal_code": "629592669",
"country_code": "US",
"telephone_number": "618-993-8534 x266",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "924 S Commercial St",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "IL",
"postal_code": "629462637",
"country_code": "US",
"telephone_number": "618-252-7171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAULS",
"first_name": "RACHEL",
"middle_name": "ADRIANNE",
"name_prefix": "Mrs.",
"credential": "MS, SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-15",
"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 Johnston City, 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.