Active NPI
Amy S. Remsey
- Speech-Language Pathologist
- Murphysboro, IL
National Provider Identifier
1932613379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146004610
- Practice address
- 1725 Shomaker Dr
Murphysboro, IL 62966-2507 - Phone
- (618) 684-2109
- Fax
- (618) 687-1638
- NPI assigned
- Nov 21, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 146004610 | IL | Primary |
Addresses
Primary practice location
1725 Shomaker Dr
Murphysboro, IL 62966-2507
Mailing address
1725 Shomaker Dr
Murphysboro, IL 62966-2507
Phone (618) 684-2109
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 |
|---|---|---|---|
| 146004610 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri County SP Ed JNT Agreement | Past | Accepting new patients | |
| Tri County SP Ed JNT Agreement | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Student Health Clinic/Center
- Murphysboro, IL
- NPI 1679693949
-
- Student Health Clinic/Center
- Murphysboro, IL
- NPI 1891819744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511222400000",
"number": "1932613379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 SHOMAKER DR",
"city": "MURPHYSBORO",
"state": "IL",
"postal_code": "629662507",
"telephone_number": "618-684-2109",
"fax_number": "618-687-1638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 SHOMAKER DR",
"city": "MURPHYSBORO",
"state": "IL",
"postal_code": "629662507",
"telephone_number": "618-684-2109",
"fax_number": "618-687-1638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMSEY",
"first_name": "AMY",
"middle_name": "S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-21",
"last_updated": "2017-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146004610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murphysboro, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.