Audrey Rawlins, CCC-SLP M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146009972 Issued in IL

Practice address

2035 W Iles Ave
Suite C
Springfield, IL 62704-4192

Phone

(217) 679-5080

Fax

(217) 679-5386

NPI assigned

Aug 14, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1316313299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 TWIN LAKES DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627079312",
            "telephone_number": "217-899-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 W ILES AVE",
            "address_2": "SUITE C",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044192",
            "telephone_number": "217-679-5080",
            "fax_number": "217-679-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLINS",
        "first_name": "AUDREY",
        "credential": "CCC-SLP M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146009972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Raufer, DNP, PMHNP-BC
• Frederick M Rauscher, MD
• Andrew Rauth
• Jennifer Rose Raven
• Sri Vishnu Priya Ravipati, MD
• Jessie Lyin Rawlins
• Delaney Marguerite Wolf Rawson, MD
• Lauren Nicole Ray, PA-C
• Mary Ray, LPC
• Valerie A Ray, CCC-A

• Speech-Language Pathologist in Springfield, IL
• Providers in Springfield, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.