Individual provider Active NPI

Elizabeth Willing, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Quincy, IL
National Provider Identifier
1326227158
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
5 State and 8TH PLZ
Quincy, IL 62301-4960
Phone
(217) 224-1750
Fax
(217) 224-0403
NPI assigned
Oct 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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 IL Primary

Addresses

Primary practice location

5 State and 8TH PLZ
Quincy, IL 62301-4960

Mailing address

5 State and 8TH PLZ
Quincy, IL 62301-4960
Phone (217) 224-1750

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 Arts

State licenses

LicenseStateTypeSpecialty
146-005195ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physical Therapy of Hannibal, LLC Speech-Language Pathologist PastSince Jul 24, 2022 Accepting new patients
First Choice Physical Therapy Speech-Language Pathologist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1326227158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 STATE AND 8TH PLZ",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014960",
            "telephone_number": "217-224-1750",
            "fax_number": "217-224-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 STATE AND 8TH PLZ",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014960",
            "telephone_number": "217-224-1750",
            "fax_number": "217-224-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLING",
        "first_name": "ELIZABETH",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.