Bridgette Dennis, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

652 E Main St
Cuba, IL 61427-5211

Phone

(309) 785-8054

NPI assigned

Sep 3, 2019

Last updated

Sep 3, 2019By the provider in NPPES

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

Other names 1

• Bridgette Koehler Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1316595309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 E MAIN ST",
            "city": "CUBA",
            "state": "IL",
            "postal_code": "614275211",
            "telephone_number": "309-785-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 E MAIN ST",
            "city": "CUBA",
            "state": "IL",
            "postal_code": "614275211",
            "telephone_number": "309-785-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "BRIDGETTE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdennis@cusd3.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "652 E Main St",
            "city": "Cuba",
            "state": "IL",
            "country_code": "US",
            "postal_code": "614275211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRIDGETTE",
            "last_name": "KOEHLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Dawn Bordner, MA, LCPC
• Sydney K Collins
• Terrah L Cornell, FNP
• County of Fulton (The Clayberg Fulton County Nursing Center)
• Fulton County Comm Dist 3
• Graham Hospital Association (Graham Medical Group)
• Marcia Anne Heitz, LCSW
• Megan Kathleen Holliger, PTA
• Jennifer June Lang, M.S.

• Speech-Language Pathologist in Cuba, IL
• Providers in Cuba, 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 Sep 3, 2019; 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.