Tracey J Greenwood, M.S.-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

288330 Issued in IL

Practice address

800 W Romeo B Garrett Ave
Peoria, IL 61605-2207

Phone

(309) 672-6810

NPI assigned

Jan 15, 2019

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

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": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1447724133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 SUNSET RD",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615502642",
            "telephone_number": "309-258-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W ROMEO B GARRETT AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616052207",
            "telephone_number": "309-672-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "TRACEY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "M.S.-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "288330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS LICENSE",
            "identifier": "288330",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabella Green
• Tawnya Green
• Karen Griffith Greene, LCPC
• Katherine Greene
• Jennifer Greenwood
• Elizabeth Greer
• Shelley Falkin Gregg
• David Carl Gregory, M.D.
• Heather Marie Greiner
• Craig Griebel, MD

• Speech-Language Pathologist in Peoria, IL
• Providers in 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 Jan 15, 2019; 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.