Individual provider Active NPI

Haley Rae Wickline

  • Speech-Language Pathologist
  • Beckley, WV
National Provider Identifier
1508343971
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1710 Harper Rd
Beckley, WV 25801
Phone
(304) 256-4100
NPI assigned
Jul 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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 Primary

Addresses

Primary practice location

1710 Harper Rd
Beckley, WV 25801

Mailing address

200 Shawnee Cir
Mount Hope, WV 25880-8985
Phone (304) 237-8338

Other practice location 1

1710 Harper Rd
Beckley, WV 25801-3357
Phone (304) 256-4100

Other practice location 2

120 Hanworth Ln
Daniels, WV 25832-9029
Phone (304) 542-3544

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
Linguacare Associates 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": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1508343971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SHAWNEE CIR",
            "city": "MOUNT HOPE",
            "state": "WV",
            "postal_code": "258808985",
            "telephone_number": "304-237-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25801",
            "telephone_number": "304-256-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 Harper Rd",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258013357",
            "country_code": "US",
            "telephone_number": "304-256-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Hanworth Ln",
            "address_purpose": "LOCATION",
            "city": "Daniels",
            "state": "WV",
            "postal_code": "258329029",
            "country_code": "US",
            "telephone_number": "304-542-3544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKLINE",
        "first_name": "HALEY",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.