Individual provider Active NPI

Victoria La'Cole Reid

  • Speech-Language Pathologist
  • Shelby, NC
National Provider Identifier
1477215515
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1607 E Dixon Blvd
Shelby, NC 28152-6976
Phone
(704) 473-1675
Fax
(980) 701-0008
NPI assigned
Oct 6, 2021
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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 NC Primary

Addresses

Primary practice location

1607 E Dixon Blvd
Shelby, NC 28152-6976

Mailing address

404 Yorkfield Dr
Shelby, NC 28150-4581
Phone (704) 473-1675

Other identifiers 2

IdentifierTypeStateIssuer
14230239OtherAMERICAN SPEECH LANGUAGE HEARING ASSOCIATION
30001022OtherNCNC BOARD OF EXAMINERS FOR SPEECH LANGUAGE PATHOLOGISTS AND AUDIOLOGISTS

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wood SLP Services, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Wood SLP Services, Inc. Speech-Language Pathologist CurrentSince Oct 1, 2021 Accepting new patients

Locations

1607 E Dixon Blvd
Shelby, NC 28152
Phone (704) 473-1675

811 W Warren St
Shelby, NC 28150
Phone (704) 473-1675

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1477215515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 YORKFIELD DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504581",
            "telephone_number": "704-473-1675",
            "fax_number": "980-701-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 E DIXON BLVD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526976",
            "telephone_number": "704-473-1675",
            "fax_number": "980-701-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "VICTORIA",
        "middle_name": "LA'COLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION",
            "identifier": "14230239",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF EXAMINERS FOR SPEECH LANGUAGE PATHOLOGISTS AND AUDIOLOGISTS",
            "identifier": "30001022",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.