Active NPI
Christine Marie Fletcher, M.S., CCC-SLP
- Speech-Language Pathologist
- Peoria, IL
National Provider Identifier
1053439208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146-005926
- Practice address
- 2001 W Willow Knolls Dr Ste 202
Peoria, IL 61614-1257 - Phone
- (309) 689-9920
- Fax
- (309) 689-9923
- NPI assigned
- Mar 27, 2007
- Last updated
- Oct 5, 2026
- 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 | 146-005926 | IL | Primary |
Addresses
Primary practice location
2001 W Willow Knolls Dr Ste 202
Peoria, IL 61614-1257
Mailing address
900 Hickory Creek CT
Germantown Hills, IL 61548-9089
Phone (309) 453-4715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110812000158 | IL | Practitioner - Qualified Speech Language Pathologist | 6901075704 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146-005926 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1053439208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 HICKORY CREEK CT",
"city": "GERMANTOWN HILLS",
"state": "IL",
"postal_code": "615489089",
"telephone_number": "309-453-4715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W WILLOW KNOLLS DR STE 202",
"city": "PEORIA",
"state": "IL",
"postal_code": "616141257",
"telephone_number": "309-689-9920",
"fax_number": "309-689-9923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146-005926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.