Porshia Sade Wicker, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11792 Issued in NC

Practice address

140 W Main St
Sanford, NC 27332-5907

Phone

(919) 770-6649

NPI assigned

May 19, 2016

Last updated

Jun 27, 2023By the provider in NPPES

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

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.

• Sankofa Pediatric Therapy

  • Speech-Language Pathologist
  • Sanford, NC
  • NPI 1154007623
  NPD Authorized official

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1245687268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W MAIN ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273325907",
            "telephone_number": "919-770-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W MAIN ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273325907",
            "telephone_number": "919-770-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKER",
        "first_name": "PORSHIA",
        "middle_name": "SADE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "11792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Wheat, RD, LDN
• Shani Anika L Parrish Whilby, MS
• Lauren Whitaker, CCC-SLP
• Miles Warren Whitaker, MD
• Keisha Whitt, PHARM.D.
• William T Wicker, SW
• Kimberly Widrick, PT
• Nicholas Alan Wiley
• Patricia Wiley, LPCA
• Kennedy Wilkins

• Speech-Language Pathologist in Sanford, NC
• Providers in Sanford, 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 Jun 27, 2023; 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.