Abbie Elizabeth Sieboldt

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

240023 Issued in AL

Practice address

2450 Village Professional Dr N
Opelika, AL 36801-4734

Phone

(334) 528-1964

NPI assigned

Jun 11, 2024

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

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehabworks LLCGroup PAC ID 3375975204, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Rehabworks LLC

  • Rehabilitation Clinic/Center
  • Opelika, AL
  • NPI 1114573995
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1437991494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 VILLAGE PROFESSIONAL DR N",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 VILLAGE PROFESSIONAL DR N",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014734",
            "telephone_number": "334-528-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBOLDT",
        "first_name": "ABBIE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "240023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Shields
• Jerry Steven Shiver, DMD
• Sammi Nichole Shortt, LCSW
• Jason Shropshire, PT
• Shahzad Khan Siddique, M.D.
• Stephanie Culver Simmons, DMD
• Stephanie Lauren Simmons
• Paul Simon
• Jordan Lee Simons, DO
• Emelyn Luann Simpson, CRNA

• Speech-Language Pathologist in Opelika, AL
• Providers in Opelika, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.

Verify at the official NPI Registry.