Megan Nicole Sanders, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146-010040 Issued in IL

Practice address

2001 W Willow Knolls Dr
Ste. 106
Peoria, IL 61614-1290

Phone

(309) 689-9920

Fax

(309) 689-9923

NPI assigned

Oct 12, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Speech & Language Rehabilitation Service LTD

  • Speech-Language Pathologist
  • Peoria, IL
  • NPI 1316062797
  NPD (past)

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1578898441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W WILLOW KNOLLS DR",
            "address_2": "STE. 106",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141290",
            "telephone_number": "309-689-9920",
            "fax_number": "309-689-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W WILLOW KNOLLS DR",
            "address_2": "STE. 106",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141290",
            "telephone_number": "309-689-9920",
            "fax_number": "309-689-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "MEGAN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146-010040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Samuel
• Henry Anthony San German, M.D.
• Megan Marie San Jose, APN, NP-C
• Ellen J. Sancken
• Amy Sanders
• Zachary Noah Sanders, MD
• Japmehr Kaur Sandhu, M.B.B.S.
• Alexis Sands, MS, CCC-SLP
• Aarrthi Santhana Krishnan, DMD
• Diane J. Santorineos

• Speech-Language Pathologist in Peoria, IL
• Providers in 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 Mar 30, 2010; 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.