Active NPI
WTN-Speech Therapy
- Speech-Language Pathologist
- Angier, NC
National Provider Identifier
1023420288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 33933
- Legal business name
- WTN-SPEECH THERAPY
- Practice address
- 511 N Raleigh St
Angier, NC 27501-9121 - Phone
- (910) 693-5515
- NPI assigned
- May 22, 2014
- Last updated
- May 22, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Marcia Reese, M.ED
- Title
- Owner
- Phone
- (254) 458-0020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 33933 | TX | Primary |
Addresses
Primary practice location
511 N Raleigh St
Angier, NC 27501-9121
Mailing address
1010 West Jasper Rd. Dr. Ste. 9
Killeen, TX 76542
Phone (254) 458-0020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336448448 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Assistant
- Harker Heights, TX
- NPI 1336448448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400716800000",
"number": "1023420288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 WEST JASPER RD. DR. STE. 9",
"city": "KILLEEN",
"state": "TX",
"postal_code": "76542",
"telephone_number": "254-458-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 N RALEIGH ST",
"city": "ANGIER",
"state": "NC",
"postal_code": "275019121",
"telephone_number": "910-693-5515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WTN-SPEECH THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-22",
"last_updated": "2014-05-22",
"status": "A",
"authorized_official_last_name": "REESE",
"authorized_official_first_name": "MARCIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "254-458-0020",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.ED"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "33933",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1336448448",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Angier, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.