Prairie Wind Speech Therapy, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.004158 Issued in IL

Legal business name

PRAIRIE WIND SPEECH THERAPY, INC.

Practice address

611 N Dunlap Ave
Savoy, IL 61874-8406

Phone

(217) 840-4543

NPI assigned

Jul 25, 2014

Last updated

Jul 25, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Tracy GundersonNPI 1811210909

Title

Speech Pathologist/Founder

Phone

(217) 840-4543

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracy Gunderson

  • Speech-Language Pathologist
  • Champaign, IL
  • NPI 1811210909
  NPD (past) Authorized official

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1093123705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 NOEL DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618216552",
            "telephone_number": "217-840-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N DUNLAP AVE",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618748406",
            "telephone_number": "217-840-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE WIND SPEECH THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "GUNDERSON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST/FOUNDER",
        "authorized_official_telephone_number": "217-840-4543",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.004158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Palahniuk
• Jessica Parks, MSW
• Toria M Plotner
• Courtney Ann Porter, LSW, MSW, M.ED.
• Prairie Song Therapy and Consulting PLLC
• Raymond Pranada
• Keith Prather, M.A.CCC-SLP
• Kelly Prather
• Presence Covenant Medical Center
• Creighton Prosser, OD

• Speech-Language Pathologist in Savoy, IL
• Providers in Savoy, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.