Cindia Kinney Wells, MA-CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11292 Issued in OR

Practice address

111 N 20TH St
Philomath, OR 97370-9535

Phone

(541) 368-4313

NPI assigned

Oct 24, 2010

Last updated

Oct 24, 2010By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1287878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287878400000",
    "number": "1407156599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 NW JONQUIL PL",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303637",
            "telephone_number": "541-753-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N 20TH ST",
            "city": "PHILOMATH",
            "state": "OR",
            "postal_code": "973709535",
            "telephone_number": "541-368-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "CINDIA",
        "middle_name": "KINNEY",
        "name_prefix": "Mrs.",
        "credential": "MA-CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-24",
        "last_updated": "2010-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "11292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Corvallis Clinic P C (Corvallis Clinic Philomath)
• Eileen Mackle Tokuda, PT
• Trillium Family Services
• Rebecca Additon Veltri, DPT
• Pamela Versage
• Raina Wickham
• Isabel Yelsa, PA-C

• Speech-Language Pathologist in Philomath, OR
• Providers in Philomath, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2010; 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.