Active NPI
Amy Wilkins, M.S., CCC-SLP
- Speech-Language Pathologist
- South Hill, VA
National Provider Identifier
1144877366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202008210
- Practice address
- 750 Lombardy St
South Hill, VA 23970-2112 - Phone
- (434) 447-0895
- NPI assigned
- Aug 22, 2019
- 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 | 2202008210 | VA | Primary |
Addresses
Primary practice location
750 Lombardy St
South Hill, VA 23970-2112
Mailing address
PO Box 90
South Hill, VA 23970-0090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2202008210 | Other | VA | VIRGINIA BOARD OF AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY |
| 14103245 | Other | AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION |
Other names 1
- Amy Moore
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amy.wilkins@vcuhealth.org | Community Memorial Hospital |
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 |
|---|---|---|---|
| 2202008210 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1144877366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90",
"city": "SOUTH HILL",
"state": "VA",
"postal_code": "239700090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 LOMBARDY ST",
"city": "SOUTH HILL",
"state": "VA",
"postal_code": "239702112",
"telephone_number": "434-447-0895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "AMY",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-22",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202008210",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA BOARD OF AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY",
"identifier": "2202008210",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION",
"identifier": "14103245",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amy.wilkins@vcuhealth.org",
"affiliation": "Y",
"affiliationName": "Community Memorial Hospital",
"address_1": "750 Lombardy St",
"city": "South Hill",
"state": "VA",
"country_code": "US",
"postal_code": "239702112",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMY",
"last_name": "MOORE",
"credential": "M.S., CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in South Hill, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.