Organization Active NPI

Christine Wilson Speech Language Pathology LLC

  • Hearing and Speech Clinic/Center
  • Tampa, FL
National Provider Identifier
1548508054
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
SA 6126 Issued in FL
Legal business name
CHRISTINE WILSON SPEECH LANGUAGE PATHOLOGY LLC
Practice address
5009 Belmont Rd
Tampa, FL 33647-1319
Phone
(813) 956-8921
NPI assigned
Jan 18, 2013
Last updated
Jan 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Mrs. Christine Ann Wilson, M.S. C.C.C.-SLPNPI 1861652265
Title
Speech Language Pathologist/Manager
Phone
(813) 956-8921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X SA 6126 FL Primary

Addresses

Primary practice location

5009 Belmont Rd
Tampa, FL 33647-1319

Mailing address

17427 Bridge Hill CT
Tampa, FL 33647
Phone (813) 279-2737

National Provider Directory

National Provider Directory

Locations

17427 Bridge Hill Ct
Tampa, FL 33647

5383 Primrose Lake Cir
Tampa, FL 33647
Phone (813) 279-2737

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1548508054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17427 BRIDGE HILL CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33647",
            "telephone_number": "813-279-2737",
            "fax_number": "813-279-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 BELMONT RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471319",
            "telephone_number": "813-956-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE WILSON SPEECH LANGUAGE PATHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/MANAGER",
        "authorized_official_telephone_number": "813-956-8921",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. C.C.C.-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "FL",
            "license": "SA 6126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.