Active NPI
Victoria L Reuschel, MD
- Speech-Language Pathologist
- Peoria, IL
National Provider Identifier
1679301980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.007884
- Practice address
- 1907 W Forrest Hill Ave
Peoria, IL 61604-1919 - Phone
- (309) 672-6571
- NPI assigned
- Jul 26, 2024
- Last updated
- Aug 8, 2024
- 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 | 242.007884 | IL | Primary |
Addresses
Primary practice location
1907 W Forrest Hill Ave
Peoria, IL 61604-1919
Mailing address
3202 N Wisconsin Ave
Peoria, IL 61603-1260
Phone (309) 672-6571
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242.007884 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1679301980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3202 N WISCONSIN AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616031260",
"telephone_number": "309-672-6571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 W FORREST HILL AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616041919",
"telephone_number": "309-672-6571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REUSCHEL",
"first_name": "VICTORIA",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-26",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.007884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Courtney Elizabeth Reubin, APRN
- Vakya Reddy Revanur, MBBS
- Stephanie Rewinkel, PHARMD
- Dilini Chamika Reyhart, M.D.
- C Diane Reynolds, APN
- Clarissa Rhode, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.