Active NPI
James Wayne, CCC-SLP
- Speech-Language Pathologist
- Richmond, VA
National Provider Identifier
1013669159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202009897
- Practice address
- 1250 E Marshall St
Richmond, VA 23298-5023 - Phone
- (804) 828-9000
- NPI assigned
- Jan 20, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202009897 | VA | Primary |
Addresses
Primary practice location
1250 E Marshall St
Richmond, VA 23298-5023
Mailing address
2809 Ellwood Ave Apt a
Richmond, VA 23221-3019
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2202009897 | Other | VA | SLP LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2202009897 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1013669159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2809 ELLWOOD AVE APT A",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232213019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 E MARSHALL ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985023",
"telephone_number": "804-828-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAYNE",
"first_name": "JAMES",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-20",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202009897",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SLP LICENSE",
"identifier": "2202009897",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.