Active NPI
Whitney Roxanne Wilson
- Speech-Language Assistant
- Kerrville, TX
National Provider Identifier
1295042729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 35674
- Practice address
- 448 Sidney Baker S Ste 103
Kerrville, TX 78028-5980 - Phone
- (830) 896-3130
- NPI assigned
- Sep 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 35674 | TX | Primary |
Addresses
Primary practice location
448 Sidney Baker S Ste 103
Kerrville, TX 78028-5980
Mailing address
5700 Tapadera Trace LN
Apt. 624
Austin, TX 78727-6301
Phone (830) 591-3925
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35674 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimberly a. Cochran | Past | Accepting new patients | |
| Boerne Just-4-Kids Therapy | Speech-Language Assistant | 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.
-
- Speech-Language Assistant
- Kerrville, TX
- NPI 1255679338
-
- Speech-Language Pathologist
- Kerrville, TX
- NPI 1790815744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283472000000",
"number": "1295042729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 TAPADERA TRACE LN",
"address_2": "APT. 624",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787276301",
"telephone_number": "830-591-3925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "448 SIDNEY BAKER S STE 103",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285980",
"telephone_number": "830-896-3130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "WHITNEY",
"middle_name": "ROXANNE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-03",
"last_updated": "2010-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "35674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.