Individual provider Active NPI

Deanna Sue Tebbe, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Bartelso, IL
National Provider Identifier
1801043492
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.008650 Issued in IL
Practice address
13978 Oil Field Rd
Bartelso, IL 62218-1002
Phone
(618) 765-2413
Fax
(618) 594-8826
NPI assigned
Aug 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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 146.008650 IL Primary

Addresses

Primary practice location

13978 Oil Field Rd
Bartelso, IL 62218-1002

Mailing address

12112 Oilfield Road
Bartelso, IL 62218-1531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190522001869 IL Practitioner - Qualified Speech Language Pathologist 1658614227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Southern Illinois University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1124 Sunset Dr
Vandalia, IL 62471-3221
Phone (877) 367-9772

121 S Bluff Rd
Collinsville, IL 62234-1970
Phone (618) 227-4347

14335 Jamestown Rd
Breese, IL 62230-3681
Phone (618) 270-7078

1607 W Fillmore St
Vandalia, IL 62471-3112
Phone (618) 769-9220

1827 E McCord St
Centralia, IL 62801-6589
Phone (618) 769-3457

208 Zachery Dr
Mount Vernon, IL 62864-6712
Phone (618) 313-7540

211 N Market St
Sparta, IL 62286-2081
Phone (618) 706-9769

3450 Village LN
Granite City, IL 62040-7704
Phone (618) 819-1171

505 Rushing Dr
Carterville, IL 62918-3596
Phone (618) 313-7572

7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759

792 N Main St
Anna, IL 62906-1627
Phone (618) 280-4056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
146.008650ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Illinois, LLC Speech-Language Pathologist CurrentSince Feb 25, 2019 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Speech-Language Pathologist CurrentSince Feb 25, 2019 Accepting new patients
Empowerme Wellness Kansas City, LLC Speech-Language Pathologist CurrentSince Apr 4, 2024 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Apr 4, 2024 Accepting new patients

Locations

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1801043492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12112 OILFIELD ROAD",
            "city": "BARTELSO",
            "state": "IL",
            "postal_code": "622181531",
            "fax_number": "618-594-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13978 OIL FIELD RD",
            "city": "BARTELSO",
            "state": "IL",
            "postal_code": "622181002",
            "telephone_number": "618-765-2413",
            "fax_number": "618-594-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEBBE",
        "first_name": "DEANNA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.008650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartelso, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.