Salleeann Wyatt-Hurst, M.S. SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA15617 Issued in FL

Practice address

2806 Miracle Pkwy
Cape Coral, FL 33914-3700

Phone

(630) 908-0018

NPI assigned

Nov 15, 2012

Last updated

Sep 15, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1336483346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 MIRACLE PKWY",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339143700",
            "telephone_number": "630-908-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 MIRACLE PKWY",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339143700",
            "telephone_number": "630-908-0018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 Donald St",
            "address_purpose": "LOCATION",
            "city": "Hinckley",
            "state": "IL",
            "postal_code": "605209479",
            "country_code": "US",
            "telephone_number": "630-908-0018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYATT-HURST",
        "first_name": "SALLEEANN",
        "credential": "M.S. SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242002509",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Cape Coral, FL
• Providers in Cape Coral, 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 Sep 15, 2022; 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.