Abby Christine Fancher, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146015143 Issued in IL

Practice address

110 Carver LN
East Peoria, IL 61611-3052

Phone

(309) 282-6704

NPI assigned

May 31, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Abby Christine Barker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Midwest Children'S Therapy, PLLC

  • Physical Therapist
  • East Peoria, IL
  • NPI 1881466738

  Speech-Language Pathologist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1437898368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 N 42ND RD",
            "city": "MENDOTA",
            "state": "IL",
            "postal_code": "613429652",
            "telephone_number": "815-910-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CARVER LN",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616113052",
            "telephone_number": "309-282-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANCHER",
        "first_name": "ABBY",
        "middle_name": "CHRISTINE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146015143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "BARKER",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy S. Egger, L.C.S.W.
• Hilary Enzweiler
• Adebimpe Favour Erebholo, NP
• Freddy A Escorcia, M.D.
• Everside Health, LLC
• Julie Ann Feeny, PT
• Elyse Nicole Feinhals, CCLS
• Megan Fischer
• Anna Lisa Fisher, R.PH.
• Kimani Fitzgerald

• Speech-Language Pathologist in East Peoria, IL
• Providers in East Peoria, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.