Jessica Riley Wilcockson, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

174179 Issued in KY

Practice address

1115 Tamarack Rd Ste 400
Owensboro, KY 42301-6934

Phone

(270) 926-8534

NPI assigned

Apr 15, 2019

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

• Jessica Alyse Riley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1487217667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 TAMARACK RD STE 400",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016934",
            "telephone_number": "270-926-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 TAMARACK RD STE 400",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016934",
            "telephone_number": "270-926-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOCKSON",
        "first_name": "JESSICA",
        "middle_name": "RILEY",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "174179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "RILEY",
            "middle_name": "ALYSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wiggins Drugs Limited
• Deanna Michelle Wiggins, APRN
• Larry S Wigginton, MD
• Wight Speech and Language Services, LLC
• Karen Marie Wight, M.S., CCC-SLP
• Kyle Wilgus
• Amanda Wilhite
• Christina L Wilkerson, ARNP
• Tarren R Wilkey
• Windy R Willey, PTA

• All providers in Owensboro, KY
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.