WTR Springboard

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5846 Issued in NC

Legal business name

WTR SPRINGBOARD

Practice address

3812 Tryon Ridge Dr
Raleigh, NC 27610-5656

Phone

(919) 720-8833

Fax

(919) 516-0263

NPI assigned

Jul 22, 2011

Organization subpart

No

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

Authorized official

Name

Miss Tomicka Renee WatkinsNPI 1205952025

Title

Owner

Phone

(919) 720-8833

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sounds Like Speech-Language & Communication Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tomicka Renee Watkins, MS,CCC-SLP

  • Speech-Language Pathologist
  • Raleigh, NC
  • NPI 1205952025
  NPD (past) Authorized official

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372982400000",
    "number": "1225316375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 TRYON RIDGE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276105656",
            "telephone_number": "919-720-8833",
            "fax_number": "919-516-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 TRYON RIDGE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276105656",
            "telephone_number": "919-720-8833",
            "fax_number": "919-516-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WTR SPRINGBOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2013-07-05",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "TOMICKA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-720-8833",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200455",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sounds Like Speech-Language & Communication",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracey Wright, RN MSN FNP-BC
• Vincent Marcelle Wright, MSW, LCSW, FBMHP
• Wisdom Wright
• Abigail June Wrobleski, PA-C
• Christopher Michael Wrzesien, OTR/L
• Andrew Christopher Wu, MD
• Katherine Gutmann Wu, MD
• Ping Seung Alice Wu, D.D.S.
• Stephanie E Wu, M.D., M.B.A.
• Willis M Wu, MD

• Speech-Language Pathologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; 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.