Individual provider Active NPI

Rebecca D. Eberle, M.A., CCC-SLP, BC-NC

  • Speech-Language Pathologist
  • Bloomington, IN
National Provider Identifier
1366432528
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22001596A Issued in IN
Practice address
200 S Jordan Ave
Department of Speech and Hearing Sciences
Bloomington, IN 47405
Phone
(812) 855-1069
Fax
(812) 855-5561
NPI assigned
Oct 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 22001596A IN Primary

Addresses

Primary practice location

200 S Jordan Ave
Department of Speech and Hearing Sciences
Bloomington, IN 47405

Mailing address

3918 Stonegate CT
Bloomington, IN 47401-9801
Phone (812) 333-4368

Other identifiers 1

IdentifierTypeStateIssuer
11512049OtherINCAQH PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160518000642 IN Practitioner - Qualified Speech Language Pathologist 3577852367 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University CurrentSince May 1, 2016 Accepting new patients
Indiana University Speech-Language Pathologist CurrentSince May 1, 2016 Accepting new patients

Locations

2631 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-5252

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366432528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 STONEGATE CT",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474019801",
            "telephone_number": "812-333-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S JORDAN AVE",
            "address_2": "DEPARTMENT OF SPEECH AND HEARING SCIENCES",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47405",
            "telephone_number": "812-855-1069",
            "fax_number": "812-855-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERLE",
        "first_name": "REBECCA",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-SLP, BC-NC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22001596A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "11512049",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.