Joelle Wildman, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

284669 Issued in KY

Practice address

1053 Lovers LN
Bowling Green, KY 42103-7166

Phone

(270) 807-0335

NPI assigned

Dec 31, 2015

Last updated

May 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Associates in Pediatric Therapy, LLC

  dba Associates in Pediatric Therapy

  • Rehabilitation Clinic/Center
  • Shelbyville, KY
  • NPI 1396910840

  Speech-Language Pathologist

  NPD (past)
• Jacob's Ladder Pediatric Rehab Center

  • Speech-Language Pathologist
  • Chesterton, IN
  • NPI 1164251849
  NPD (past)
• Jacob's Ladder Pediatric Rehab Center

  • Physical Therapist
  • Chesterton, IN
  • NPI 1265519151

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1558726877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HOWARD DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658138",
            "telephone_number": "502-233-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 LOVERS LN",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037166",
            "telephone_number": "270-807-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDMAN",
        "first_name": "JOELLE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-31",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "284669",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46003338A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200196020A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Wierson, M.D.
• Wiesemann Orthodontics Inc. PC
• Wiggins Drugs Limited (King Home Care Bowling Green)
• William Wiggins, DO
• Rita Diane Wigginton, RPH, PHARMD, MHA
• Melisa Wiley
• Angela Kitchens Wilhelm, DNP
• Makayla Wilhelm, BCBA
• Cole Thomas Wilken
• Samuel Wade Wilkey, D.C.

• Speech-Language Pathologist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.