Individual provider Active NPI

Wygelia E Palmer, MA, CCC-SLP

  • Speech-Language Pathologist
  • Sumter, SC
National Provider Identifier
1043581424
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4730 Issued in SC
Practice address
340 Rast St
Suite 2
Sumter, SC 29150-2595
Phone
(803) 972-1945
NPI assigned
Jan 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4730 SC Primary
Speech-Language Pathologist 235Z00000X SLP007680 GA
Speech-Language Pathologist 235Z00000X 9689 NC

Addresses

Primary practice location

340 Rast St
Suite 2
Sumter, SC 29150-2595

Mailing address

PO Box 1854
Sumter, SC 29151-1854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120206000125 SC Practitioner - Qualified Speech Language Pathologist 9931366853 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SLP007680GAMDSpeech-Language Pathologist
9689NCMDSpeech-Language Pathologist
4730SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Noteable Pathways Therapeutics LLC Speech-Language Pathologist CurrentSince Jan 1, 2011 Accepting new patients

Locations

340 Rast St
Ste 2
Sumter, SC 29150
Phone (803) 406-1971

123 Broad St
Sumter, SC 29150
Phone (803) 774-4757

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1043581424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1854",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291511854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 RAST ST",
            "address_2": "SUITE 2",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502595",
            "telephone_number": "803-972-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "WYGELIA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4730",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007680",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "9689",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.