Individual provider Active NPI

Rachel Caldwell, CCC-SLP

  • Speech-Language Pathologist
  • Monticello, IL
National Provider Identifier
1700433869
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2015 E Washington St
Monticello, IL 61856-2148
Phone
(217) 762-8511
NPI assigned
Aug 23, 2019
Last updated
Aug 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

2015 E Washington St
Monticello, IL 61856-2148

Mailing address

215 E Washington St
Monticello, IL 61856-1642

Other practice location 1

3 Sage Dr
Monticello, IL 61856-1813
Phone (217) 762-8511

Other practice location 2

1 Sage Dr
Monticello, IL 61856-1813
Phone (217) 762-8511

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL calra@sages.us Health Information Exchange (HIE)

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

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1700433869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E WASHINGTON ST",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618561642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 E WASHINGTON ST",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618562148",
            "telephone_number": "217-762-8511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Sage Dr",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "IL",
            "postal_code": "618561813",
            "country_code": "US",
            "telephone_number": "217-762-8511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Sage Dr",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "IL",
            "postal_code": "618561813",
            "country_code": "US",
            "telephone_number": "217-762-8511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "RACHEL",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "calra@sages.us",
            "affiliation": "N",
            "endpointDescription": "School",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2015 E Washington St",
            "city": "Monticello",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618562148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monticello, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.