Individual provider Active NPI

Karen Danielle Weiman, SLP

  • Speech-Language Pathologist
  • Liberty, IL
National Provider Identifier
1891051595
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242.001936 Issued in IL
Practice address
1351 N 750TH Ave
Liberty, IL 62347-4901
Phone
(217) 242-5513
NPI assigned
Apr 6, 2012
Last updated
Apr 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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 242.001936 IL Primary

Addresses

Primary practice location

1351 N 750TH Ave
Liberty, IL 62347-4901

Mailing address

1351 N 750TH Ave
Liberty, IL 62347-4901
Phone (217) 242-5513

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
242.001936ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1891051595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 N 750TH AVE",
            "city": "LIBERTY",
            "state": "IL",
            "postal_code": "623474901",
            "telephone_number": "217-242-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 N 750TH AVE",
            "city": "LIBERTY",
            "state": "IL",
            "postal_code": "623474901",
            "telephone_number": "217-242-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIMAN",
        "first_name": "KAREN",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.001936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.