Wildwood Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

WILDWOOD SPEECH THERAPY LLC

Practice address

5325 63Rd Ave NE
Olympia, WA 98516-9504

Phone

(360) 631-6393

NPI assigned

Aug 11, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Emery Zednick, MA CCC-SLPNPI 1235506528

Title

Speech-Language Pathologist

Phone

(360) 631-6393

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emery C Zednick, SLP

  • Speech-Language Pathologist
  • Olympia, WA
  • NPI 1235506528
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1023791340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 63RD AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985169504",
            "telephone_number": "360-631-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 63RD AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985169504",
            "telephone_number": "360-631-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDWOOD SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "ZEDNICK",
        "authorized_official_first_name": "EMERY",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "360-631-6393",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Nicole Wilcox, PT
• Beth Wilder, OTR/L
• Jack Anthony Wilder, PT
• James Robert Wilder, DMD
• Wildflower Telehealth Network Inc.
• Elizabeth Ann Wiley, MD, JD, MPH
• Jana Lyn Wiley, L.AC.
• Keith Madison Wilks, COUNSELOR
• Ryan E Will, MD
• Nancy Willard, M.A. CCC/SLP

• Speech-Language Pathologist in Olympia, WA
• Providers in Olympia, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.