Individual provider Active NPI

Elizabeth McBurney

  • Speech-Language Pathologist
  • Gibson City, IL
National Provider Identifier
1407264385
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
148008883 Issued in IL
Practice address
620 E 1St St
Gibson City, IL 60936-1822
Phone
(217) 784-4257
NPI assigned
Jul 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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 148008883 IL Primary

Addresses

Primary practice location

620 E 1St St
Gibson City, IL 60936-1822

Mailing address

4 Hearthstone CT
Bloomington, IL 61704-8468
Phone (309) 706-2389

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240522004183 IL Practitioner - Qualified Speech Language Pathologist 4789026741 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
148008883ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Savoy Therapy Services Inc CurrentSince Apr 6, 2024 Accepting new patients

Locations

1200 E College Ave
Normal, IL 61761
Phone (309) 321-0358

415 N Dunlap Ave
Unit 452
Savoy, IL 61874
Phone (217) 898-8393

Organizations & group practices 1

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": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1407264385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HEARTHSTONE CT",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617048468",
            "telephone_number": "309-706-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E 1ST ST",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "609361822",
            "telephone_number": "217-784-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBURNEY",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "148008883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibson City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.