Individual provider Active NPI

Grace Marie Sievers, SLP

  • Speech-Language Pathologist
  • Roselle, IL
National Provider Identifier
1730205956
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146003671 Issued in IL
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

Updated by the provider on Mar 17, 2018

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 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

LicenseStateTypeSpecialty
146003671ILMDSpeech-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

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.

Verify at the official NPI Registry.