Greyson Tucker

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2019019658 Issued in MO

Practice address

401 Corporate Park Dr
Clayton, MO 63105-4201

Phone

(314) 725-7447

NPI assigned

Aug 27, 2019

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1114575776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CORPORATE PARK DR",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631054201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CORPORATE PARK DR",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631054201",
            "telephone_number": "314-725-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "GREYSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2019019658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "235Z00000X",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "greyson.tucker@rehabcare.com",
            "affiliation": "Y",
            "endpointDescription": "secured work email address",
            "affiliationName": "Barnes Jewish Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "401 Corporate Park Dr",
            "city": "Clayton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631054201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Trevor Vazquez, PT
• Rebecca Anne Venker, NONE

• Speech-Language Pathologist in Clayton, MO
• Providers in Clayton, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.