Active NPI
Paula J Weiler, M.S. CCC-SLP
- Speech-Language Pathologist
- Fargo, ND
National Provider Identifier
1124104013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 756
- Practice address
- 1518 8TH Ave S
Fargo, ND 58103-2534 - Phone
- (701) 388-4109
- NPI assigned
- Oct 31, 2006
- 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 | 756 | ND | Primary |
Addresses
Primary practice location
1518 8TH Ave S
Fargo, ND 58103-2534
Mailing address
1518 8TH Ave S
Fargo, ND 58103-2534
Phone (701) 388-4109
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WEI 23283 | Other | ND | BLUECROSS BLUESHIELD ND |
| A03251043776 | Other | ND | PREFERRED ONE |
| 51713 | Medicaid | ND |
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 |
|---|---|---|---|
| 756 | ND | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1124104013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1518 8TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581032534",
"telephone_number": "701-388-4109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1518 8TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581032534",
"telephone_number": "701-388-4109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEILER",
"first_name": "PAULA",
"middle_name": "J",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ND",
"license": "756",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD ND",
"identifier": "WEI 23283",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "A03251043776",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "51713",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.