Wendy Dyan Dillon, SPEECH LANGUAGE PATH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202004772 Issued in VA

Practice address

1134 East Fincastle Turnpike
Heartland Rehabilitation Services
North Tazewell, VA 24630

Phone

(540) 988-8765

Fax

(540) 988-8764

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Wendy Dyan Nolley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093824260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 EAST FINCASTLE TURNPIKE",
            "city": "NORTH TAZEWELL",
            "state": "VA",
            "postal_code": "24630",
            "telephone_number": "540-988-8765",
            "fax_number": "540-988-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 EAST FINCASTLE TURNPIKE",
            "address_2": "HEARTLAND REHABILITATION SERVICES",
            "city": "NORTH TAZEWELL",
            "state": "VA",
            "postal_code": "24630",
            "telephone_number": "540-988-8765",
            "fax_number": "540-988-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "WENDY",
        "middle_name": "DYAN",
        "credential": "SPEECH LANGUAGE PATH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202004772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "NOLLEY",
            "middle_name": "DYAN",
            "credential": "SPEECH LANGUAGE PATH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Speech-Language Pathologist in North Tazewell, VA
• Providers in North Tazewell, VA by specialty
• Speech-Language Pathologist in Virginia

• 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.

Verify at the official NPI Registry.