Individual provider Active NPI

Cheryl Lynn Remmert, MS CCC/SLP-L

  • Speech-Language Pathologist
  • Decatur, IL
National Provider Identifier
1740796556
Registry record updated Dec 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.003369 Issued in IL
Practice address
955 N Illinois St
Decatur, IL 62521-1427
Phone
(217) 362-3280
NPI assigned
Dec 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2017

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 146.003369 IL Primary

Addresses

Primary practice location

955 N Illinois St
Decatur, IL 62521-1427

Mailing address

1300 Devonshire Dr
Monticello, IL 61856-2250
Phone (217) 762-7932

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
146.003369ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1513468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513468800000",
    "number": "1740796556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 DEVONSHIRE DR",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618562250",
            "telephone_number": "217-762-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 N ILLINOIS ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625211427",
            "telephone_number": "217-362-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMMERT",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS CCC/SLP-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-17",
        "last_updated": "2017-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.003369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2017; 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.