Active NPI
Karen Marie Roley, SLP
- Speech-Language Pathologist
- Effingham, IL
National Provider Identifier
1720105778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.007565
- Practice address
- 1301 N Maple St
Effingham, IL 62401-1779 - Phone
- (217) 347-1243
- Fax
- (217) 347-1558
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 146.007565 | IL | Primary |
Addresses
Primary practice location
1301 N Maple St
Effingham, IL 62401-1779
Mailing address
1000 Health Center Dr
Mattoon, IL 61938-9253
Phone (217) 258-2525
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
| License | State | Type | Specialty |
|---|---|---|---|
| 146.007565 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Anthonys Memorial Hospital of the Hospital Sisters of the Third | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1720105778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 HEALTH CENTER DR",
"city": "MATTOON",
"state": "IL",
"postal_code": "619389253",
"telephone_number": "217-258-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 N MAPLE ST",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624011779",
"telephone_number": "217-347-1243",
"fax_number": "217-347-1558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLEY",
"first_name": "KAREN",
"middle_name": "MARIE",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2021-12-27",
"certification_date": "2021-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.007565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Effingham, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.