Individual provider Active NPI

Callie N Siers

  • Speech-Language Pathologist
  • Wilmington, DE
National Provider Identifier
1700507993
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
O1-0012087 Issued in DE
Practice address
2101 Centerville Rd
Wilmington, DE 19808-4720
Phone
(302) 992-5555
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2024

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 O1-0012087 DE Primary

Addresses

Primary practice location

2101 Centerville Rd
Wilmington, DE 19808-4720

Mailing address

1 Manchester LN
Wilmington, DE 19810-1209
Phone (302) 438-5500

Other practice location 1

1502 Spruce Ave
Wilmington, DE 19805-2148
Phone (302) 438-5500

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

State licenses

LicenseStateTypeSpecialty
O1-0012087DEMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1700507993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MANCHESTER LN",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198101209",
            "telephone_number": "302-438-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CENTERVILLE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084720",
            "telephone_number": "302-992-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1502 Spruce Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198052148",
            "country_code": "US",
            "telephone_number": "302-438-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIERS",
        "first_name": "CALLIE",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DE",
            "license": "O1-0012087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.