MS. TRACIE LYNN JOHNSON M.S., CCC-SLP
NPI 1417398462
Speech-Language Pathologist in Peoria Heights, IL

Q: What is Tracie Johnson's NPI number?

The NPI number for Tracie Johnson is 1417398462. It was assigned to this individual provider in the NPPES registry on July 7, 2013. The provider is also known as Ms. Tracie Lynn Stabler.

Q: What is Tracie Johnson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Tracie Johnson was last updated on July 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 07, 2013

5533 N GALENA RD, PEORIA HEIGHTS, IL 61616(309) 682-5428 Get Directions Write a Review

NPPES record last updated: July 7, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Tracie Lynn Johnson M.s., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TRACIE LYNN JOHNSON M.S., CCC-SLP (NPI 1417398462) is an individual speech-language pathologist provider in Peoria Heights, Illinois, licensed in Illinois (146007016) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1417398462

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMS. TRACIE LYNN JOHNSONCredential: M.S., CCC-SLP

Location Address5533 N GALENA RDPeoria Heights, IL 61616-4447

Mailing Address5533 N Galena RdPeoria, IL 61616-4447

Phone(309) 682-5428

Sole ProprietorYes

Enumeration DateJuly 7, 2013

✔ NPI 1417398462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in IL · 146007016

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

5533 N GALENA RD, Peoria Heights, IL 61616

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Other Names 1

Former Name (1)Ms. Tracie Lynn Stabler

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA MARIE GRADY DPT

Physical Therapist

5533 N GALENA RD
PEORIA HEIGHTS, IL 61616

Peoria County (309) 682-5428

MS. SHEILA RENEA WILSON PERSONAL ASSISTANT

Technician (Personal Care Attendant)

5533 N GALENA RD
PEORIA HEIGHTS, IL 61616

Peoria County (309) 282-2073

GOLDWATER CARE PEORIA HEIGHTS LLC

Durable Medical Equipment & Medical Supplies

5533 N GALENA RD
PEORIA, IL 61616

Peoria County (309) 682-5428

SALLY MARTHA MCKANNA

Physical Therapy Assistant

5533 N GALENA RD
PEORIA HEIGHTS, IL 61616

Peoria County (309) 682-5428

OSF HEALTHCARE SYSTEM

Skilled Nursing Facility

5533 N GALENA RD
PEORIA HEIGHTS, IL 61616

Peoria County (309) 682-5428

MRS. ELIZABETH AMELIA MCWHIRTER COTA/L

Occupational Therapy Assistant

5533 N GALENA RD
PEORIA HEIGHTS, IL 61616

Peoria County (309) 682-5428

GOLDWATER CARE PEORIA HEIGHTS LLC

Skilled Nursing Facility

5533 N GALENA RD
PEORIA HEIGHTS, IL 61616

Peoria County (309) 682-5428

MIDWEST HEALTH OPERATIONS, LLC

Skilled Nursing Facility

5533 N GALENA RD
PEORIA HEIGHTS, IL 61616

Peoria County (309) 682-5428

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracie Johnson's NPI number?

The NPI number for Tracie Johnson is 1417398462. It was assigned to this individual provider in the NPPES registry on July 7, 2013. The provider is also known as Ms. Tracie Lynn Stabler.

Where is Tracie Johnson located?

Tracie Johnson practices at 5533 N Galena Rd, Peoria Heights, IL 61616. The listed phone number is (309) 682-5428.

What is Tracie Johnson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Tracie Johnson was last updated on July 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.