Active NPI
Anne Elizabeth Wyville, M.S., CCC-SLP
- Speech-Language Pathologist
- Trenton, FL
National Provider Identifier
1093099905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00421100
- Practice address
- 320 N.E. 2ND St
Trenton, FL 32693 - Phone
- (201) 966-6819
- NPI assigned
- Oct 11, 2011
- Last updated
- Apr 24, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 013316-1 | NY | |
| Speech-Language Pathologist | 235Z00000X | 41YS00421100 | NJ | Primary |
Addresses
Primary practice location
320 N.E. 2ND St
Trenton, FL 32693
Mailing address
320 N.E. 2ND St
Trenton, FL 32693
Phone (201) 966-6819
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 |
|---|---|---|---|
| 41YS00421100 | NJ | MD | Speech-Language Pathologist |
| 013316-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1093099905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 N.E. 2ND ST",
"city": "TRENTON",
"state": "FL",
"postal_code": "32693",
"telephone_number": "201-966-6819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 N.E. 2ND ST",
"city": "TRENTON",
"state": "FL",
"postal_code": "32693",
"telephone_number": "201-966-6819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYVILLE",
"first_name": "ANNE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-11",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "013316-1",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00421100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.