Mary Ann Siegworth, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146010645 Issued in IL

Practice address

2461 N State Highway 96
Nauvoo, IL 62354-2200

Phone

(217) 453-2231

NPI assigned

Aug 18, 2017

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1699291815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 N STATE HIGHWAY 96",
            "city": "NAUVOO",
            "state": "IL",
            "postal_code": "623542200",
            "telephone_number": "217-453-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2461 N STATE HIGHWAY 96",
            "city": "NAUVOO",
            "state": "IL",
            "postal_code": "623542200",
            "telephone_number": "217-453-2231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 Creamery Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas City",
            "state": "IL",
            "postal_code": "623301216",
            "country_code": "US",
            "telephone_number": "217-852-3201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGWORTH",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146010645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nauvoo Colusa Cus Dist 325
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• Anthony William Wasielewski, APRN-BC

• Speech-Language Pathologist in Nauvoo, IL
• Providers in Nauvoo, 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 17, 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.

Verify at the official NPI Registry.