Active NPI
Wanda F, Williams, MAEDCC-SLP
- Speech-Language Pathologist
- Memphis, TN
National Provider Identifier
1083860050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP0000001033
- Practice address
- 6025 Primacy Parkway
Memphis, TN 38119-5763 - Phone
- (901) 818-5932
- Fax
- (901) 374-9603
- NPI assigned
- Aug 11, 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 | SP0000001033 | TN | Primary |
Addresses
Primary practice location
6025 Primacy Parkway
Memphis, TN 38119-5763
Mailing address
5551 Rappahannock Dr
Memphis, TN 38134-6637
Phone (901) 382-2720
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP0000001033 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218412800000",
"number": "1083860050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5551 RAPPAHANNOCK DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381346637",
"telephone_number": "901-382-2720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6025 PRIMACY PARKWAY",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195763",
"telephone_number": "901-818-5932",
"fax_number": "901-374-9603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "WANDA",
"middle_name": "F,",
"name_prefix": "Mrs.",
"credential": "MAEDCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-11",
"last_updated": "2008-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "SP0000001033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.