Anita Louise Wasileski, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL000960L Issued in PA

Practice address

400 E 2ND St
Centennial Hall
Bloomsburg, PA 17815-1301

Phone

(570) 389-5380

Fax

(570) 389-5022

NPI assigned

Oct 23, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1366525644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 2ND ST",
            "address_2": "CENTENNIAL HALL",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151301",
            "telephone_number": "570-389-5380",
            "fax_number": "570-389-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 2ND ST",
            "address_2": "CENTENNIAL HALL",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151301",
            "telephone_number": "570-389-5380",
            "fax_number": "570-389-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASILESKI",
        "first_name": "ANITA",
        "middle_name": "LOUISE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL000960L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008477920001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
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• Molly E. Warnick, PA-C
• Noah Jon Wasielewski, ATC
• Natalie Marie Wasko
• Joseph A. Weader, M.D.
• Christian Webber, ABOC
• Peter Wei, MD
• Weis Markets Inc

• Speech-Language Pathologist in Bloomsburg, PA
• Providers in Bloomsburg, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.