Rachel Caldwell, CCC-SLP

Key facts

NPI

1700433869

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

Practice address

2015 E Washington St
Monticello, IL 61856-2148

Phone

(217) 762-8511

NPI assigned

Aug 23, 2019

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 23, 2019.

{
    "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": []
}

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All providers in Monticello, IL · Speech-Language Pathologist in Illinois