Individual provider Active NPI

Bailey Anne Bennett, MS

  • Speech-Language Pathologist
  • Belleville, IL
National Provider Identifier
1326779778
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
141 Sunnyslope Dr
Belleville, IL 62221-2538
Phone
(618) 979-2516
NPI assigned
Jun 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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 Primary

Addresses

Primary practice location

141 Sunnyslope Dr
Belleville, IL 62221-2538

Mailing address

141 Sunnyslope Dr
Belleville, IL 62221-2538
Phone (618) 979-2516

Other practice location 1

1 Robin Ct
Edwardsville, IL 62025-5532
Phone (618) 741-0981

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Cardinal Glennon Children'S Hospital CurrentSince Jul 5, 2023 Accepting new patients
SSM Cardinal Glennon Childrens Hospital CurrentSince Jul 5, 2023 Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

7325 Marine Rd
Edwardsville, IL 62025
Phone (618) 307-5816

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

1173 Corporate Lake Dr
Saint Louis, MO 63132

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": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1326779778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SUNNYSLOPE DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622212538",
            "telephone_number": "618-979-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SUNNYSLOPE DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622212538",
            "telephone_number": "618-979-2516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Robin Ct",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "IL",
            "postal_code": "620255532",
            "country_code": "US",
            "telephone_number": "618-741-0981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "BAILEY",
        "middle_name": "ANNE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.