Tara Gruenenfelder

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146006765 Issued in IL

Practice address

2040 Timberbrook Dr
Springfield, IL 62702-6623

Phone

(217) 726-9438

NPI assigned

May 5, 2008

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": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1760658231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 HUNTER RIDGE DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 TIMBERBROOK DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627026623",
            "telephone_number": "217-726-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUENENFELDER",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146006765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grow Pediatric Therapy Corner, PLLC
• Camilla Rae Grow
• Growth Abounds PLLC
• Laura Grubb, NP
• Logan Renee Grubb, MD
• Alison Gryczewski, PA-C
• Danielle L Guadarrama, L.M.T, CMLDT
• Andrew K. Guardia, PA
• Paul Hyatt Guerin, DO
• Quentin Guillory, MD

• Speech-Language Pathologist in Springfield, IL
• Providers in Springfield, 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 May 5, 2008; 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.