Active NPI
Danielle Nicole Weber
- Speech-Language Pathologist
- Springfield, IL
National Provider Identifier
1962762336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.008748
- Practice address
- 2035 W Iles Ave Ste C
Springfield, IL 62704-7000 - Phone
- (800) 773-1682
- NPI assigned
- May 20, 2012
- 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 | 146.008748 | IL | Primary |
Addresses
Primary practice location
2035 W Iles Ave Ste C
Springfield, IL 62704-7000
Mailing address
401 Middleburg Dr
Sherman, IL 62684-9603
Phone (217) 821-0526
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 |
|---|---|---|---|
| 146.008748 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337472000000",
"number": "1962762336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 MIDDLEBURG DR",
"city": "SHERMAN",
"state": "IL",
"postal_code": "626849603",
"telephone_number": "217-821-0526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2035 W ILES AVE STE C",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627047000",
"telephone_number": "800-773-1682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "DANIELLE",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-20",
"last_updated": "2012-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.008748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.