Shannon Wilk

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

331 Alberta Dr Ste 110
Amherst, NY 14226-1813

Phone

(716) 204-5925

NPI assigned

May 20, 2021

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

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1407421654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 CORIANDER CT",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511265",
            "telephone_number": "716-515-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 ALBERTA DR STE 110",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261813",
            "telephone_number": "716-204-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILK",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Wichtowski, PA
• April Elizabeth Wieczorek, PA-C
• Marielle Rebecca Wiede, PA
• Jennifer Katrina Wilczewski, LMSW
• Michael John Wild, MS, ATC, PES
• Ryan Wilkins, M.D.
• Willcare
• Willcare
• Willcare, Inc.
• Frank Joseph Willhauck Jr.

• Speech-Language Pathologist in Amherst, NY
• Providers in Amherst, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.