Active NPI
Amanda Nicole Hilderbrand, MS CCC SLP
- Speech-Language Pathologist
- Charleston, IL
National Provider Identifier
1881859924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.009472
- Practice address
- 2243 Cortland Dr
Charleston, IL 61920-3816 - Phone
- (217) 508-6485
- NPI assigned
- Jul 28, 2008
- 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 | 146.009472 | IL | Primary |
Addresses
Primary practice location
2243 Cortland Dr
Charleston, IL 61920-3816
Mailing address
2243 Cortland Dr
Charleston, IL 61920-3816
Phone (217) 508-6485
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
| License | State | Type | Specialty |
|---|---|---|---|
| 146.009472 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487030400000",
"number": "1881859924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2243 CORTLAND DR",
"city": "CHARLESTON",
"state": "IL",
"postal_code": "619203816",
"telephone_number": "217-508-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2243 CORTLAND DR",
"city": "CHARLESTON",
"state": "IL",
"postal_code": "619203816",
"telephone_number": "217-508-6485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDERBRAND",
"first_name": "AMANDA",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "MS CCC SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-28",
"last_updated": "2017-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.009472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.