Tanner Wilson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

247960 Issued in KY

Practice address

724 Harvard Dr
Owensboro, KY 42301-6152

Phone

(270) 240-5051

Fax

(270) 228-4136

NPI assigned

Feb 14, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Building Blocks Therapy Clinic

  • Multi-Specialty Clinic/Center
  • Owensboro, KY
  • NPI 1598318974
  NPD

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1396442885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 HARVARD DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016152",
            "telephone_number": "270-240-5051",
            "fax_number": "270-228-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 HARVARD DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016152",
            "telephone_number": "270-240-5051",
            "fax_number": "270-228-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TANNER",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "247960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Wilson, DDS
• Gary L Wilson, MD
• Maggie Wilson, MS, OTR
• Reid H Wilson, M.D.
• Sara Wilson
• William Cassidy Wilson IV, MD
• Sharon Lynn Wilt, M.D.
• Chet Alan Wiman, PT
• Bradley Wimsatt, MS, LPCC-S
• Lisa C Wimsatt, ARNP CNM

• Speech-Language Pathologist in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.