Individual provider Active NPI

Wendy Faye Smith, SLP-CFY

  • Speech-Language Pathologist
  • Bowling Green, OH
National Provider Identifier
1457566150
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
COND 2007099 Issued in OH
Practice address
11080 E Gypsy Lane Rd
Bowling Green, OH 43402-9564
Phone
(419) 353-8411
Fax
(419) 352-9403
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X COND 2007099 OH Primary

Addresses

Primary practice location

11080 E Gypsy Lane Rd
Bowling Green, OH 43402-9564

Mailing address

26747 Lakevue Dr
Apt 8
Perrysburg, OH 43551-5317

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

State licenses

LicenseStateTypeSpecialty
COND 2007099OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Blanchard Valley LLC Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457566150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26747 LAKEVUE DR",
            "address_2": "APT 8",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11080 E GYPSY LANE RD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029564",
            "telephone_number": "419-353-8411",
            "fax_number": "419-352-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WENDY",
        "middle_name": "FAYE",
        "credential": "SLP-CFY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND 2007099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.