Active NPI
Wendy L. Trotter, MS, CCC-SLP
- Speech-Language Pathologist
- Bloomington, IL
National Provider Identifier
1225214901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.004920
- Practice address
- 2404 E Empire St
Bloomington, IL 61704-3630 - Phone
- (309) 663-8275
- Fax
- (309) 662-7872
- NPI assigned
- Jan 13, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7263 | NC | |
| Speech-Language Pathologist | 235Z00000X | 146.004920 | IL | Primary |
Addresses
Primary practice location
2404 E Empire St
Bloomington, IL 61704-3630
Mailing address
2404 E Empire St
Bloomington, IL 61704-3630
Phone (309) 663-8275
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7263 | NC | MD | Pharmacist |
| 146.004920 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247011200000",
"number": "1225214901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2404 E EMPIRE ST",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617043630",
"telephone_number": "309-663-8275",
"fax_number": "309-662-7872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2404 E EMPIRE ST",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617043630",
"telephone_number": "309-663-8275",
"fax_number": "309-662-7872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROTTER",
"first_name": "WENDY",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-13",
"last_updated": "2009-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "7263",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.004920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.