Active NPI
Brooke Nicole Whittington, SLP
- Speech-Language Pathologist
- Centralia, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242006348
- Practice address
- Heritage Woods of Centralia
2049 East McCord St.
Centralia, IL 62801 - Phone
- (618) 439-9431
- NPI assigned
- Aug 30, 2022
- Last updated
- Aug 30, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 242006348 | IL | Primary |
Addresses
Primary practice location
Heritage Woods of Centralia
2049 East McCord St.
Centralia, IL 62801
Mailing address
2 Whittington Rd
Elkville, IL 62932-2212
Other practice location 1
1 Marcus Dr Ste 102
Greenville, SC 29615-4818
Phone (864) 244-3626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242006348 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Wellness Kansas City, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current | Accepting new patients | |
| Empowerme Rehabilitation Illinois, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Speech-Language Pathologist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1021 W E St
Belleville, IL 62220
Phone (618) 233-2095
7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6765
1 Marcus Dr
Ste 102
Greenville, SC 29615
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Edwardsville, IL
- NPI 1679098263
Speech-Language Pathologist
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
Speech-Language Pathologist
-
- Multi-Specialty Clinic/Center
- Belleville, IL
- NPI 1174118103
Speech-Language Pathologist
-
- Rehabilitation Clinic/Center
- Mount Carmel, IL
- NPI 1962073734
Speech-Language Pathologist
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
Speech-Language Pathologist
-
- Rehabilitation Clinic/Center
- Liberty, MO
- NPI 1174299044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1427778612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 WHITTINGTON RD",
"city": "ELKVILLE",
"state": "IL",
"postal_code": "629322212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HERITAGE WOODS OF CENTRALIA",
"address_2": "2049 EAST MCCORD ST.",
"city": "CENTRALIA",
"state": "IL",
"postal_code": "62801",
"telephone_number": "618-439-9431"
}
],
"practiceLocations": [
{
"address_1": "1 Marcus Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296154818",
"country_code": "US",
"telephone_number": "864-244-3626",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITTINGTON",
"first_name": "BROOKE",
"middle_name": "NICOLE",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-30",
"last_updated": "2022-08-30",
"certification_date": "2022-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242006348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centralia, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.