Active NPI
Joyce A Eckerman, SLP
- Speech-Language Pathologist
- O Fallon, IL
National Provider Identifier
1811206808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.001215
- Practice address
- 209 Fieldspring CT
O Fallon, IL 62269-7141 - Phone
- (618) 624-5619
- NPI assigned
- Sep 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.001215 | IL | Primary |
Addresses
Primary practice location
209 Fieldspring CT
O Fallon, IL 62269-7141
Mailing address
209 Fieldspring CT
O Fallon, IL 62269-7141
Phone (618) 624-5619
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
| License | State | Type | Specialty |
|---|---|---|---|
| 146.001215 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285372800000",
"number": "1811206808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 FIELDSPRING CT",
"city": "O FALLON",
"state": "IL",
"postal_code": "622697141",
"telephone_number": "618-624-5619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 FIELDSPRING CT",
"city": "O FALLON",
"state": "IL",
"postal_code": "622697141",
"telephone_number": "618-624-5619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKERMAN",
"first_name": "JOYCE",
"middle_name": "A",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-25",
"last_updated": "2010-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.001215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.