Wynn Butler

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

PCET003351 Issued in GA

Practice address

10144 Ford Ave
Richmond Hill, GA 31324-3936

Phone

(912) 727-2321

NPI assigned

Jun 21, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1568031037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 E 39TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314019414",
            "telephone_number": "229-726-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10144 FORD AVE",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243936",
            "telephone_number": "912-727-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "WYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCET003351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciara A Burgos
• Ann Elder Burrell, RPH
• Ciarea Moet Burton
• Stephen Burton, L.C.P.C.
• Sarah Busbee
• Devin A Byrd, PH.D.
• Jimea Byrd
• C4Behaviorllc
• Debra Caley
• Gabriela Canamucio

• Speech-Language Pathologist in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.