Rebecca Diane Wilbur, B.S. SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

4121 Issued in CA

Practice address

27200 Tourney Rd Ste 255
Valencia, CA 91355-4983

Phone

(661) 222-9901

NPI assigned

Apr 9, 2018

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

Other names 1

• Miss Rebecca Diane Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1447757281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27200 TOURNEY RD STE 255",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554983",
            "telephone_number": "661-222-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27200 TOURNEY RD STE 255",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554983",
            "telephone_number": "661-222-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBUR",
        "first_name": "REBECCA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "B.S. SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "4121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "JOHNSON",
            "middle_name": "DIANE",
            "prefix": "MISS",
            "credential": "B.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Speech-Language Assistant in Valencia, CA
• Providers in Valencia, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.