Active NPI
Rebecca D. Eberle, M.A., CCC-SLP, BC-NC
- Speech-Language Pathologist
- Bloomington, IN
National Provider Identifier
1366432528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22001596A
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11512049 | Other | IN | CAQH PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University | Current | Accepting new patients | |
| Indiana University | Speech-Language Pathologist | Current | 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.
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- General Practice Dentistry
- Indianapolis, IN
- NPI 1689790552
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.