ANDREA M RUSSELL MS, CCC-SLP
NPI 1619115557
Speech-Language Pathologist in O Fallon, IL

NPI Status: Active since January 30, 2009

Contact Information

634 N MAIN ST
SUITE 3
O FALLON, IL
ZIP 62269
Phone: (618) 632-4222

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  • Individual
  • Female
  • Speech-Language Pathologist

About ANDREA RUSSELL

This page provides the complete NPI Profile along with additional information for Andrea Russell, a provider established in O Fallon, Illinois with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1619115557 assigned on January 2009. The practitioner's primary taxonomy code is 235Z00000X with license number 146.009661 (IL). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1619115557
Provider Name
ANDREA M RUSSELL MS, CCC-SLP
Gender
Female
Entity Type
Individual
Location Address
634 N MAIN ST SUITE 3 O FALLON, IL 62269
Location Phone
(618) 632-4222
Mailing Address
634 N MAIN ST SUITE 3 O FALLON, IL 62269
Mailing Phone
(618) 632-4222
Is Sole Proprietor?
Yes
Enumeration Date
01-30-2009
Last Update Date
01-30-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
License No.
146.009661
License State
IL
Taxonomy Description
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1619115557
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26292110510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 2 + 1 + 1 + 0 + 5 + 1 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1619115557 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124044698ABC PEDIATRIC THERAPY, LLC
Organization
Speech-Language Pathologist634 N MAIN ST SUITE 3
O FALLON, IL 62269
(618) 632-4222
1881711620 STACY ELIZABETH BRAGG OTR
Individual
Occupational Therapist (Pediatrics)634 N MAIN ST SUITE 5
O FALLON, IL 62269
(314) 494-6337
1023135647 AMANDA TERSTRIEP OT
Individual
Occupational Therapist634 N MAIN ST SUITE 5
O FALLON, IL 62269
(618) 690-0068
1215100938MISS AMANDA J NEWKIRK MS-CCC/SLP
Individual
Speech-Language Pathologist634 N MAIN ST SUITE 3
O FALLON, IL 62269
(618) 632-4222
1134442726APPLETREE THERAPY SERVICES, LLC.
Organization
Clinic/Center634 N MAIN ST SUITE 5
O FALLON, IL 62269
(618) 690-0068
1447520168APPLETREE THERAPY SERVICES, LLC
Organization
Clinic/Center (Rehabilitation)634 N MAIN ST SUITE 5
O FALLON, IL 62269
(618) 690-0068
1013270701 AMBER CHAPPELL.
Individual
Speech-Language Pathologist634 N MAIN ST SUITE 3
O FALLON, IL 62269
(618) 632-4222
1568708584 TAHNEE DYANNE HAGENBUCH OTR/L
Individual
Occupational Therapist (Pediatrics)634 N MAIN ST SUITE 5
O FALLON, IL 62269
(618) 690-0068
1144620774 TARA THIEMS
Individual
Speech-Language Pathologist634 N MAIN ST SUITE 3
O FALLON, IL 62269
(618) 632-4222
1043618200 SHAUNA RITTENHOUSE OTR/L
Individual
Occupational Therapist (Pediatrics)634 N MAIN ST STE 1
O FALLON, IL 62269
(618) 690-0068
1639569213MRS. AMANDA MARIE PAGEL M.S. CFY-SLP
Individual
Speech-Language Pathologist634 N MAIN ST
O FALLON, IL 62269
(618) 632-4222
1366830424 MARY VAREL CCC-SLP
Individual
Speech-Language Pathologist634 N MAIN ST SUITE 3
O FALLON, IL 62269
(618) 632-4222
1073987392 MEAGAN CHRISTINE WRIGHT
Individual
Speech-Language Pathologist634 N MAIN ST
O FALLON, IL 62269
(618) 632-4222
1225570138 MELISSA LISK M.A., CF-SLP/L
Individual
Speech-Language Pathologist634 N MAIN ST SUITE 3
O FALLON, IL 62269
(618) 632-4658
1689165870 KENDYL ANN CUDDIHEE
Individual
Behavior Technician634 N MAIN ST
O FALLON, IL 62269
(618) 726-5870
1245702869 MACKENZIE ARCHAMBO
Individual
Behavior Analyst634 N MAIN ST
O FALLON, IL 62269
(618) 726-0701
1053885749 MARLON VAN HAM
Individual
Behavior Analyst634 N MAIN ST
O FALLON, IL 62269
(618) 726-5870
1215498225MS. SARAH DANIELLE MILLER SALZMAN
Individual
Assistant Behavior Analyst634 N MAIN ST
O FALLON, IL 62269
(618) 398-7500
1235691056 SHEILA GERILYN HIPSKIND
Individual
Behavior Technician634 N MAIN ST
O FALLON, IL 62269
(618) 726-5870
1730742628 DOMINIQUE WILLIAMS
Individual
Behavior Analyst634 N MAIN ST
O FALLON, IL 62269
(618) 726-5870

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619115557, enumerated in the NPI registry as an "individual" on January 30, 2009

The provider is located at 634 N Main St Suite 3 O Fallon, Il 62269 and the phone number is (618) 632-4222

The provider's speciality is Speech-Language Pathologist with taxonomy code 235Z00000X

This NPI record was last updated on January 30, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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