Active NPI
Toni Maxwell
- Speech-Language Pathologist
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 46002856A
- Practice address
- 3701 Bellemeade Ave
Evansville, IN 47714-0137 - Phone
- (812) 479-1411
- Fax
- (812) 437-2634
- NPI assigned
- Oct 6, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 46002856A | IN | Primary |
Addresses
Primary practice location
3701 Bellemeade Ave
Evansville, IN 47714-0137
Mailing address
3701 Bellemeade Ave
Evansville, IN 47714-0137
Phone (812) 479-1411
Other names 1
- Toni Solis
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46002856A | IN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversified Services for Occupational Therapy, Physical Therapy, Speec | Current | Accepting new patients | |
| Diversified Services for Occupational Therapy, Physical Ther | Speech-Language Pathologist | Current | Accepting new patients |
| Medical Practitioner Services of Wny PC | Past | Accepting new patients |
Locations
2900 Delaware Ave
Kenmore, NY 14217
Phone (716) 262-9791
5883 Snyder Dr
Lockport, NY 14094
Phone (716) 433-8751
100 College Pkwy
Ste 100
Williamsville, NY 14221
Phone (716) 362-1552
17 Limestone Dr
Ste 5
Williamsville, NY 14221
Phone (716) 362-1552
1780 Wehrle Dr
Ste 110
Williamsville, NY 14221
Phone (716) 362-1552
Organizations & group practices 3
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.
-
- Audiologist
- Kenmore, NY
- NPI 1447283882
Speech-Language Pathologist
-
- Physical Medicine & Rehabilitation Physician
- Kenmore, NY
- NPI 1417576547
-
- Developmental Disabilities Clinic/Center
- Buffalo, NY
- NPI 1376129015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444089600000",
"number": "1326418161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 BELLEMEADE AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140137",
"telephone_number": "812-479-1411",
"fax_number": "812-437-2634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 BELLEMEADE AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140137",
"telephone_number": "812-479-1411",
"fax_number": "812-437-2634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "TONI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-06",
"last_updated": "2015-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "46002856A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TONI",
"last_name": "SOLIS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.