Darcy Wild, MS, CFY-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

15351 Issued in OR

Practice address

1400 Division St
Oregon City, OR 97045-1525

Phone

(888) 757-3422

NPI assigned

Mar 14, 2015

Last updated

Mar 14, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NE

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248

  NE, Speech-Language Pathologist

  Medicare reassignment NPD
• Pando Geriatric Counseling, PC

  • Community/Behavioral Health Agency
  • Omaha, NE
  • NPI 1700171741
  NPD (past)

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

{
    "created_epoch": "1426291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426291200000",
    "number": "1225421290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE",
            "address_2": "STE D",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697",
            "telephone_number": "888-757-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 DIVISION ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451525",
            "telephone_number": "888-757-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILD",
        "first_name": "DARCY",
        "credential": "MS, CFY-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-14",
        "last_updated": "2015-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "15351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Whittemore, D.M.D.
• Matthew James Wight
• Kellie Elizabeth Wilcox, ARNP
• Sara Wilcox, RDH
• Bethany Janelle Wild
• Dylan Wile
• Bonnie Jean Wilkinson, RN
• Willamette Anesthesiology Group
• Willamette Chiropractic LLC
• Willamette Falls Audiology, Inc

• Speech-Language Pathologist in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.