Individual provider Active NPI

Cathy Dufour Wood, MA, CCC-SLP, BCS-S

  • Speech-Language Pathologist
  • San Antonio, TX
National Provider Identifier
1386966414
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
16584 Issued in TX
Practice address
1319 Charlisas Way
San Antonio, TX 78216-7710
Phone
(210) 355-6020
Fax
(210) 878-4017
NPI assigned
Feb 16, 2010
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 01100024 TX
Speech-Language Pathologist 235Z00000X 16584 TX Primary

Addresses

Primary practice location

1319 Charlisas Way
San Antonio, TX 78216-7710

Mailing address

13423 Blanco Rd # 109
San Antonio, TX 78216-2187
Phone (210) 355-6020

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
16584TXMDGeneral Practice Dentistry
01100024TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
S. Potts and Professionals, Inc. Speech-Language Pathologist PastSince Oct 19, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1386966414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13423 BLANCO RD # 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162187",
            "telephone_number": "210-355-6020",
            "fax_number": "210-878-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 CHARLISAS WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167710",
            "telephone_number": "210-355-6020",
            "fax_number": "210-878-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "CATHY",
        "middle_name": "DUFOUR",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SLP, BCS-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-16",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "01100024",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "16584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.