Individual provider Active NPI

Susan Wohlford, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Roanoke, VA
National Provider Identifier
1093957458
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202003260 Issued in VA
Practice address
2030 Colonial Avenue SW
Roanoke, VA 24015
Phone
(540) 343-0165
Fax
(154) 034-5466
NPI assigned
Apr 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202003260 VA Primary

Addresses

Primary practice location

2030 Colonial Avenue SW
Roanoke, VA 24015

Mailing address

2030 Colonial Avenue SW
Roanoke, VA 24015
Phone (540) 343-0165

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

LicenseStateTypeSpecialty
2202003260VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1093957458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 COLONIAL AVENUE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24015",
            "telephone_number": "540-343-0165",
            "fax_number": "154-034-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 COLONIAL AVENUE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24015",
            "telephone_number": "540-343-0165",
            "fax_number": "154-034-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLFORD",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202003260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.