Individual provider Active NPI

Cynthia Bette Wilcoxon, EI CCC SLPL

  • Speech-Language Pathologist
  • Greenview, IL
National Provider Identifier
1689616195
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
21052 Claypool St
Greenview, IL 62642-9687
Phone
(217) 968-7276
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X IL Primary

Addresses

Primary practice location

21052 Claypool St
Greenview, IL 62642-9687

Mailing address

21052 Claypool St
Greenview, IL 62642-9687
Phone (217) 968-7276

Other names 1

  • Miss Cynthia Bette Sharp Former name

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

State licenses

LicenseStateTypeSpecialty
146005995ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1689616195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21052 CLAYPOOL ST",
            "city": "GREENVIEW",
            "state": "IL",
            "postal_code": "626429687",
            "telephone_number": "217-968-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21052 CLAYPOOL ST",
            "city": "GREENVIEW",
            "state": "IL",
            "postal_code": "626429687",
            "telephone_number": "217-968-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOXON",
        "first_name": "CYNTHIA",
        "middle_name": "BETTE",
        "name_prefix": "Mrs.",
        "credential": "EI CCC SLPL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "SHARP",
            "middle_name": "BETTE",
            "prefix": "MISS",
            "credential": "EI CCC SLPL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.