Active NPI
Heidi Wilson, SLP
- Speech-Language Pathologist
- Tappahannock, VA
National Provider Identifier
1194098582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202001049
- Practice address
- 270 Wilson Acres Road
Tappahannock, VA 22560 - Phone
- (804) 874-8744
- NPI assigned
- Feb 15, 2012
- Last updated
- Feb 17, 2022
- 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 | 2202001049 | VA | Primary |
Addresses
Primary practice location
270 Wilson Acres Road
Tappahannock, VA 22560
Mailing address
PO Box 2776
Tappahannock, VA 22560-2776
Phone (804) 874-8744
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1194098582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2776",
"city": "TAPPAHANNOCK",
"state": "VA",
"postal_code": "225602776",
"telephone_number": "804-874-8744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 WILSON ACRES ROAD",
"city": "TAPPAHANNOCK",
"state": "VA",
"postal_code": "22560",
"telephone_number": "804-874-8744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "HEIDI",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-15",
"last_updated": "2022-02-17",
"certification_date": "2022-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202001049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tappahannock, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.