Virginia Smith Wiley, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA4572 Issued in FL

Practice address

1834 Mason Ave
Daytona Beach, FL 32117

Phone

(772) 559-2937

Fax

(386) 261-8787

NPI assigned

Nov 13, 2007

Last updated

Dec 15, 2021By 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

Other names 1

• Ms. Virginia Smith Wiley-Sylvia Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1326228974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4571 MILES DRIVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279241",
            "telephone_number": "772-559-2937",
            "fax_number": "386-261-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 MASON AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32117",
            "telephone_number": "772-559-2937",
            "fax_number": "386-261-8787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4573 Miles Drive",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "32127",
            "country_code": "US",
            "telephone_number": "772-559-2937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILEY",
        "first_name": "VIRGINIA",
        "middle_name": "SMITH",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA4572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "WILEY-SYLVIA",
            "middle_name": "SMITH",
            "prefix": "MS.",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Randall Brooks Whitney, M.D.
• Leah Wiedemamn, O.D.
• Aimee Wiener, ARNP
• Darla Lyon Wilchusky
• Amy Christine Wilder, LMHC
• Michael Wilk, M.D.
• Gregory Scott Wilkerson, D.O.
• Caren Elizabeth Wilkie, MD
• Brent Wilkins, PA-C
• Brittany Nicole Wilkins

• Speech-Language Pathologist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.