Courtney Sublett Wilson, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2203000164 Issued in VA

Practice address

4641 Locksview Rd
Lynchburg, VA 24503-1935

Phone

(434) 665-5260

NPI assigned

Apr 24, 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

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

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

• Lynchburg City Schools

  • Local Education Agency (LEA)
  • Lynchburg, VA
  • NPI 1841204773
  NPD (past)

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1154819308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 COURT ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041603",
            "telephone_number": "434-515-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 LOCKSVIEW RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245031935",
            "telephone_number": "434-665-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "COURTNEY",
        "middle_name": "SUBLETT",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2203000164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Kristen Willoughby
• James Fount Willson, DO
• Monica Willson, D.O.
• Brandy Rose-Charlene Wilson-Odom, PA-C
• Brandy Wilson, PT
• Elizabeth Wilson, LPC
• Emma Wilson
• Jacqui R Wilson, LPTA
• Jeffrey W Wilson, MD, MBA
• John M. Wilson, M.D.

• Speech-Language Pathologist in Lynchburg, VA
• Providers in Lynchburg, 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 Apr 25, 2018; 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.