Individual provider Active NPI

Trisha Admire

  • Speech-Language Pathologist
  • Godfrey, IL
National Provider Identifier
1790180644
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.006623 Issued in IL
Practice address
1373 Dadrian Professional Park
Godfrey, IL 62035-1767
Phone
(618) 468-8010
NPI assigned
Nov 4, 2014
Last updated
Nov 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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 146.006623 IL Primary

Addresses

Primary practice location

1373 Dadrian Professional Park
Godfrey, IL 62035-1767

Mailing address

239 Westwood PL
East Alton, IL 62024-1642
Phone (618) 917-2266

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
146.006623ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1790180644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 WESTWOOD PL",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620241642",
            "telephone_number": "618-917-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 DADRIAN PROFESSIONAL PARK",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620351767",
            "telephone_number": "618-468-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADMIRE",
        "first_name": "TRISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.006623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Godfrey, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.