Active NPI
Morgan Rivera, M.S. CCC-SLP/L
- Speech-Language Pathologist
- Bloomington, IL
National Provider Identifier
1417476375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.013140
- Practice address
- 300 E Monroe St
Bloomington, IL 61701-4028 - Phone
- (309) 827-6031
- NPI assigned
- Sep 12, 2017
- 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 | 146.013140 | IL | Primary |
Addresses
Primary practice location
300 E Monroe St
Bloomington, IL 61701-4028
Mailing address
1612 Bryan St Apt C
Normal, IL 61761-2764
Phone (815) 716-6841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.013140 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CGH Medical Center | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Bloomington Public Schools District87 | Past | Accepting new patients |
Locations
2600 Locust St
Ste D
Sterling, IL 61081
Phone (815) 626-3173
2600 Locust St
Sterling, IL 61081
Phone (815) 626-3173
100 E Lefevre Rd
Sterling, IL 61081
Phone (815) 625-0400
101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285
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.
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
- Durable Medical Equipment & Medical Supplies
- Morrison, IL
- NPI 1447415724
-
- Local Education Agency (LEA)
- Bloomington, IL
- NPI 1255476479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1417476375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 BRYAN ST APT C",
"city": "NORMAL",
"state": "IL",
"postal_code": "617612764",
"telephone_number": "815-716-6841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E MONROE ST",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617014028",
"telephone_number": "309-827-6031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MORGAN",
"credential": "M.S. CCC-SLP/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-12",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.013140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.