Perri Marie Grimm

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

3002 N Main St
East Peoria, IL 61611-1713

Phone

(309) 423-3111

Fax

(309) 416-0381

NPI assigned

Jun 11, 2013

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 names 1

• Perri Marie Hartman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Child'S Nature, LLC

  • Speech-Language Pathologist
  • Washington, IL
  • NPI 1801247234
  NPD (past)

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1285072389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 N MAIN ST",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616111713",
            "telephone_number": "309-423-3111",
            "fax_number": "309-416-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 N MAIN ST",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616111713",
            "telephone_number": "309-423-3111",
            "fax_number": "309-416-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "PERRI",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PERRI",
            "last_name": "HARTMAN",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Glas Chiropractic S.C.
• Eduardo Daniel Gonzalez, DDS
• Grace Gould
• James T Gray, DDS
• Lori L Griffin, P.T.
• Wiktoria A Gruszka
• Xavier Gutierrez
• Cheryl Denise Hagedorn
• Jilian Elise Hammond, MSN, PMHNP-BC
• Lynn E Hanson, PT

• Speech-Language Pathologist in East Peoria, IL
• Providers in East Peoria, 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 Nov 1, 2018; 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.