Active NPI
Rebecca Lynn Gibson-Dye, SPEECH LANGUAGE PATH
- Speech-Language Pathologist
- Wytheville, VA
National Provider Identifier
1366775991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202003602
- Practice address
- 342 Virginia Avenue
Heartland Rehabilitation Services of Virginia, Inc
Wytheville, VA 24382 - Phone
- (276) 228-6200
- Fax
- (276) 228-9175
- NPI assigned
- Sep 15, 2009
- 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 Pathologist | 235Z00000X | 2202003602 | VA | Primary |
Addresses
Primary practice location
342 Virginia Avenue
Heartland Rehabilitation Services of Virginia, Inc
Wytheville, VA 24382
Mailing address
342 Virginia Avenue
Heartland Rehabilitation Services of Virginia, Inc
Wytheville, VA 24382
Phone (276) 228-6200
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 |
|---|---|---|---|
| 2202003602 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252972800000",
"number": "1366775991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 VIRGINIA AVENUE",
"address_2": "HEARTLAND REHABILITATION SERVICES OF VIRGINIA, INC",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "24382",
"telephone_number": "276-228-6200",
"fax_number": "276-228-9175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 VIRGINIA AVENUE",
"address_2": "HEARTLAND REHABILITATION SERVICES OF VIRGINIA, INC",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "24382",
"telephone_number": "276-228-6200",
"fax_number": "276-228-9175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON-DYE",
"first_name": "REBECCA",
"middle_name": "LYNN",
"credential": "SPEECH LANGUAGE PATH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-15",
"last_updated": "2009-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202003602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wytheville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.