Sally Wilson Palmore, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

315 W 3Rd St
Farmville, VA 23901-1293

Phone

(434) 395-2713

NPI assigned

Jun 5, 2018

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

• Sally Wilson Former name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Longwood University

  • Speech-Language Pathologist
  • Farmville, VA
  • NPI 1770637555
  Medicare reassignment

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1154813046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 SMITH DR",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012988",
            "telephone_number": "434-395-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 3RD ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011293",
            "telephone_number": "434-395-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMORE",
        "first_name": "SALLY",
        "middle_name": "WILSON",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "WILSON",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Orthovirginia, Inc.
• Lucien R. Ouellette, M.D.
• Meagan Owen, MS, RDN
• Pain Junction by Kneetix, LLC
• Paladin Medical Transport, Inc.
• Jennifer Lee-Ann Parker, CNM
• Sarah Parker
• Darshan J Patel
• Pravinbhai G Patel, MD
• Hans Peter Paulsen, LPC, CSAC

• Speech-Language Pathologist in Farmville, VA
• Providers in Farmville, 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 Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.