Active NPI
Bridgette L. Vale, SLP
- Speech-Language Pathologist
- Galesburg, IL
National Provider Identifier
1457798076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.011574
- Practice address
- 872 W Dayton St
Galesburg, IL 61401-1503 - Phone
- (309) 344-3400
- Fax
- (309) 344-3401
- NPI assigned
- May 23, 2013
- 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 | 146.011574 | IL | Primary |
Addresses
Primary practice location
872 W Dayton St
Galesburg, IL 61401-1503
Mailing address
850 43Rd Ave Ste 100
Moline, IL 61265-8401
Phone (309) 743-2070
Other names 1
- Bridgette L Kranz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002293 | IA | MD | Occupational Therapist |
| 146.011574 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522368000000",
"number": "1457798076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 43RD AVE STE 100",
"city": "MOLINE",
"state": "IL",
"postal_code": "612658401",
"telephone_number": "309-743-2070",
"fax_number": "309-743-2073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "872 W DAYTON ST",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614011503",
"telephone_number": "309-344-3400",
"fax_number": "309-344-3401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALE",
"first_name": "BRIDGETTE",
"middle_name": "L.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-23",
"last_updated": "2018-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.011574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIDGETTE",
"last_name": "KRANZ",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Galesburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.