Active NPI
Marybeth A. Wilson, M.S. CCC-SLP
- Speech-Language Pathologist
- Cary, NC
National Provider Identifier
1043486053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7854
- Practice address
- 1111 SE Maynard Rd
Cary, NC 27511-4142 - Phone
- (919) 466-4377
- NPI assigned
- Apr 30, 2008
- Sex
- Female
- 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 | 7854 | NC | Primary |
Addresses
Primary practice location
1111 SE Maynard Rd
Cary, NC 27511-4142
Mailing address
5625 Dillard Dr
Cary, NC 27518-9226
Phone (919) 431-7400
Other practice location 1
930 Reedy Creek Rd
Cary, NC 27513-3046
Phone (919) 460-3504
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1043486053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5625 DILLARD DR",
"city": "CARY",
"state": "NC",
"postal_code": "275189226",
"telephone_number": "919-431-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 SE MAYNARD RD",
"city": "CARY",
"state": "NC",
"postal_code": "275114142",
"telephone_number": "919-466-4377"
}
],
"practiceLocations": [
{
"address_1": "930 Reedy Creek Rd",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275133046",
"country_code": "US",
"telephone_number": "919-460-3504",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "MARYBETH",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-30",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "7854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.