Tashina Wood, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146010197 Issued in IL

Practice address

150 N Rosenberger Ave
Evansville, IN 47712-6503

Phone

(812) 491-3856

Fax

(812) 759-1586

NPI assigned

Jul 22, 2015

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

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": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1427433283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 GLENWOOD AVE",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629302128",
            "telephone_number": "618-841-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N ROSENBERGER AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477126503",
            "telephone_number": "812-491-3856",
            "fax_number": "812-759-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "TASHINA",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146010197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Kristeen Wood, MOT, OTR/L
• Julie Ann Wood, M.D.
• Lacey Wood
• Michael Wood
• Ryan Hadley Wood, D.P.T.
• Brian James Woodard
• Crystal Woodard
• Wendy Lynn Woodard, M.D.
• Jay Howard Woodland, MD
• Anna Leah Woodruff

• Speech-Language Pathologist in Evansville, IN
• Providers in Evansville, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.