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Gwynetta Bullock
NPI 1427576883 · Speech-Language Pathologist · Peoria, IL
Gwynetta Bullock is a Speech-Language Pathologist provider in Peoria, IL (NPI 1427576883).
Provider details
- NPI number
- 1427576883
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1801 E Shady Oak Dr
Peoria, IL 61614-7907
Phone: (309) 686-1948
Street-level locationGet directions
Mailing address
1801 E Shady Oak Dr
Peoria, IL 61614-7907
Registry dates
- Enumerated
- 2017-09-06
- Last updated
- 2022-07-21
Frequently asked questions
- What is Gwynetta Bullock's NPI number?
- Gwynetta Bullock's National Provider Identifier (NPI) is 1427576883, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gwynetta Bullock's specialty?
- Gwynetta Bullock is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Gwynetta Bullock located?
- Gwynetta Bullock's practice location on file with NPPES is 1801 E Shady Oak Dr, Peoria, IL 61614-7907.
- What is Gwynetta Bullock's phone number?
- The practice phone number listed in the NPPES registry for Gwynetta Bullock is (309) 686-1948.
- Is Gwynetta Bullock's NPI active?
- Yes — Gwynetta Bullock's NPI (1427576883) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.