Wendy Tooker

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3850 Issued in NM

Legal business name

WENDY TOOKER

Practice address

400 Calle de Wences
Los Lunas, NM 87031-9300

Phone

(505) 269-4753

Fax

(928) 779-2361

NPI assigned

Dec 28, 2010

Last updated

Dec 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wendy Tooker, MS, CCC-SLP

Title

Owner

Phone

(505) 269-4753

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1477857803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W FIR AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011308",
            "telephone_number": "505-269-4753",
            "fax_number": "928-779-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CALLE DE WENCES",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870319300",
            "telephone_number": "505-269-4753",
            "fax_number": "928-779-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY TOOKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "TOOKER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-269-4753",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "3850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000A0363",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Los Lunas, NM
• Providers in Los Lunas, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.