Active NPI
Grace Marie Sievers, SLP
- Speech-Language Pathologist
- Roselle, IL
National Provider Identifier
1730205956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146003671
- Practice address
- 600 Medinah Rd
Roselle, IL 60172-2570 - Phone
- (630) 295-5244
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 146003671 | IL | Primary |
Addresses
Primary practice location
600 Medinah Rd
Roselle, IL 60172-2570
Mailing address
600 Medinah Rd
Roselle, IL 60172-2570
Phone (630) 295-5244
Other practice location 1
1917 Hampton Dr
Wheaton, IL 60187-1021
Phone (630) 690-0727
Other practice location 2
1917 Hampton Dr
Wheaton, IL 60187-1021
Phone (630) 690-0727
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 |
|---|---|---|---|
| 146003671 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1730205956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 MEDINAH RD",
"city": "ROSELLE",
"state": "IL",
"postal_code": "601722570",
"telephone_number": "630-295-5244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MEDINAH RD",
"city": "ROSELLE",
"state": "IL",
"postal_code": "601722570",
"telephone_number": "630-295-5244"
}
],
"practiceLocations": [
{
"address_1": "1917 Hampton Dr",
"address_purpose": "LOCATION",
"city": "Wheaton",
"state": "IL",
"postal_code": "601871021",
"country_code": "US",
"telephone_number": "630-690-0727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1917 Hampton Dr",
"address_purpose": "LOCATION",
"city": "Wheaton",
"state": "IL",
"postal_code": "601871021",
"country_code": "US",
"telephone_number": "630-690-0727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIEVERS",
"first_name": "GRACE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146003671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roselle, IL
- Nihar Shah, DMD
- Richard Charles Shay, D.M.D.
- Jacqueline Marie Shelton-Espinosa, L.C.S.W.
- Michael Sheppard
- Arshi Siddiqui, DDS
- Siri E. Hansen, LCPC
- Smccs, Inc. (Specialized Max Care Clinical Services, Inc.)
- Snyder-Mark Roselle Drugs Inc (Mark Drugs Roselle)
- Snyder-Mark Roselle Drugs Inc (Mark Drugs Roselle)
- Soundways Hearing Health Inc
Sources for this page
- 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.