Individual provider Active NPI

Amy J Wilma, M.A.-CCC/SLP

  • Speech-Language Pathologist
  • Shakopee, MN
National Provider Identifier
1245471697
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8328 Issued in MN
Practice address
1200 Shakopee Town SQ
Shakopee, MN 55379-1902
Phone
(952) 496-5000
NPI assigned
Mar 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8328 MN Primary

Addresses

Primary practice location

1200 Shakopee Town SQ
Shakopee, MN 55379-1902

Mailing address

1200 Shakopee Town SQ
Shakopee, MN 55379-1902
Phone (952) 496-5922

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Capernaum Pediatric Therapy, Inc. Past Accepting new patients
Capernaum Pediatric Therapy, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1245471697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SHAKOPEE TOWN SQ",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791902",
            "telephone_number": "952-496-5922",
            "fax_number": "952-496-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SHAKOPEE TOWN SQ",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791902",
            "telephone_number": "952-496-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMA",
        "first_name": "AMY",
        "middle_name": "J",
        "credential": "M.A.-CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shakopee, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.