Active NPI
Norraine Caroline Wylonis, MS
- Speech-Language Pathologist
- Rockland, MA
National Provider Identifier
1053447359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP3194-SL
- Practice address
- 800 Hingham St
Suite 101 N
Rockland, MA 02370-1074 - Phone
- (781) 871-6202
- Fax
- (781) 871-6123
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | SP3194-SL | MA | Primary |
Addresses
Primary practice location
800 Hingham St
Suite 101 N
Rockland, MA 02370-1074
Mailing address
800 Hingham St
Suite 101 N
Rockland, MA 02370-1074
Phone (781) 871-6202
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SG0001 | Other | MA | BCBSMA |
| 36132 | Other | MA | HARVARD PILGRIM HEALTH CA |
| SP0002 | Other | MA | BCBSMA |
| 723811 | Other | MA | TUFTS HEALTH PLAN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP3194-SL | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053447359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 HINGHAM ST",
"address_2": "SUITE 101 N",
"city": "ROCKLAND",
"state": "MA",
"postal_code": "023701074",
"telephone_number": "781-871-6202",
"fax_number": "781-871-6123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 HINGHAM ST",
"address_2": "SUITE 101 N",
"city": "ROCKLAND",
"state": "MA",
"postal_code": "023701074",
"telephone_number": "781-871-6202",
"fax_number": "781-871-6123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYLONIS",
"first_name": "NORRAINE",
"middle_name": "CAROLINE",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "SP3194-SL",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "SG0001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CA",
"identifier": "36132",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "SP0002",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "723811",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockland, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.