Wylanta Rene Jones, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP2190 Issued in AZ

Practice address

Humboldt Unified School District #22 Special Srvcs Ofic
8766 East Hwy 69
Prescott Valley, AZ 86314

Phone

(928) 759-4028

Fax

(928) 759-4030

NPI assigned

Feb 20, 2007

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 identifiers 1

Other names 1

• Wylanta Rene Roberts Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538204284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 S HWY 69",
            "city": "MAYER",
            "state": "AZ",
            "postal_code": "86333",
            "telephone_number": "623-326-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HUMBOLDT UNIFIED SCHOOL DISTRICT #22 SPECIAL SRVCS OFIC",
            "address_2": "8766 EAST HWY 69",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "86314",
            "telephone_number": "928-759-4028",
            "fax_number": "928-759-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "WYLANTA",
        "middle_name": "RENE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP2190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "759277",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WYLANTA",
            "last_name": "ROBERTS",
            "middle_name": "RENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Viviene Patricia Johnson Brown, FNP-C
• Cathy Johnson, RN
• Kara E Johnson, M.D.
• Kenneth Allen Johnson, CPHT
• Lindsay Taylor Johnson
• James Paul Joseph, DDS
• Sarah Journell, R.N.
• Journey With Me LLC
• Nataliya Jurincie
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• Speech-Language Pathologist in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Speech-Language Pathologist in Arizona

• 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.