Roderick Wright, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SAH-2024-0053 Issued in NM

Practice address

9662 64TH Ave
Allendale, MI 49401-9314

Phone

(616) 990-9284

NPI assigned

Jan 23, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1033825104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6181 LAKE MICHIGAN DR # 103",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019244",
            "telephone_number": "616-990-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9662 64TH AVE",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019314",
            "telephone_number": "616-990-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "RODERICK",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101008817",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SAH-2024-0053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherie Nichole Williams, DPT
• Blair Ann-Breslin Wolfert, DC
• Kayla R Wolfert, DO
• Adeline Wolters
• Amy Woroniecki
• Turner T Yamamoto
• Martin Philip Zahl, D.C.
• Anna Elizabeth Zeerip, MA CFY SLP
• Ryan Patrick Zolman, DDS

• Speech-Language Pathologist in Allendale, MI
• Providers in Allendale, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.