Individual provider Active NPI

Martha Rients, MS, CCC-SLP/L

  • Speech-Language Pathologist
  • Peoria, IL
National Provider Identifier
1790797249
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2001 W Willow Knolls Dr
Suite 106
Peoria, IL 61614-1290
Phone
(309) 689-9920
Fax
(309) 689-9923
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

2001 W Willow Knolls Dr
Suite 106
Peoria, IL 61614-1290

Mailing address

2001 W Willow Knolls Dr
Suite 106
Peoria, IL 61614-1290
Phone (309) 689-9920

Other identifiers 1

IdentifierTypeStateIssuer
07215148OtherILIL BLUE CROSS BLUE SHIELD

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
146003518ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech & Language Rehabilitation Service LTD Speech-Language Pathologist PastSince Feb 28, 2010 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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790797249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W WILLOW KNOLLS DR",
            "address_2": "SUITE 106",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141290",
            "telephone_number": "309-689-9920",
            "fax_number": "309-689-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W WILLOW KNOLLS DR",
            "address_2": "SUITE 106",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141290",
            "telephone_number": "309-689-9920",
            "fax_number": "309-689-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIENTS",
        "first_name": "MARTHA",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL BLUE CROSS BLUE SHIELD",
            "identifier": "07215148",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.