Haley Nicole Willment, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

31958 Issued in CA

Practice address

187 Tank Farm Rd Ste 210
San Luis Obispo, CA 93401-7085

Phone

(805) 547-1755

NPI assigned

Jun 24, 2024

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

Credentials

Master of Arts

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 and National Provider Directory roles.

• Speech Waves

  • Hearing and Speech Clinic/Center
  • San Luis Obispo, CA
  • NPI 1073122933
  NPD

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1275377160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 BLUEBELL WAY",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017648",
            "telephone_number": "805-722-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 TANK FARM RD STE 210",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017085",
            "telephone_number": "805-547-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLMENT",
        "first_name": "HALEY",
        "middle_name": "NICOLE",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "31958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Lynn Williamson, RDHAP
• Denise Carolyn Williamson I, LMFT
• Douglas Logan Williamson, DNP
• Eric Williamson, DDS
• Heather Marie Willis, MPAP, PA-C
• Wilshire Community Services
• Wilshire Community Services
• Wilshire Connected Care
• Wilshire Health and Community Services, Inc
• Wilshire Health and Community Services, Inc.

• Speech-Language Pathologist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.