Tera Lynn Dozier Walters, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3432 Issued in AL

Practice address

110 Amber LN
Lucedale, MS 39452-8623

Phone

(251) 680-9686

NPI assigned

Jan 23, 2012

Reactivated

Feb 13, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tera Walters Therapy LLC

  • Hearing and Speech Clinic/Center
  • Lucedale, MS
  • NPI 1801367107
  NPD

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1134490196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 RIDGE HILL DR",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394522838",
            "telephone_number": "251-680-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 AMBER LN",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394528623",
            "telephone_number": "251-680-9686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9993 Lifeline Ct",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366088527",
            "country_code": "US",
            "telephone_number": "251-680-9686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "TERA LYNN",
        "middle_name": "DOZIER",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "deactivation_date": "2024-11-18",
        "reactivation_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S4993",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "3432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Helen Valentine, OD
• Tammy C Wade, OT
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1260)
• Wal-Mart Stores East, LP (Vision Center 30-1260)
• Jennifer K. Walker, RMT #190
• Ware Family Dental of Mississippi
• Adrienne Smith Ware, DDS
• Jeanne S Weeks, PT
• Jo'El Cheri Welch, MD
• Linsee Danielle Welford, PHARMD

• Speech-Language Pathologist in Lucedale, MS
• Providers in Lucedale, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.