Individual provider Active NPI

Laina Marie Wiltsie, M.S.,CCC-SLP

  • Speech-Language Pathologist
  • Lima, OH
National Provider Identifier
1578346342
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.09757 Issued in OH
Practice address
615 Tremont Ave
Lima, OH 45801-3500
Phone
(419) 996-3330
Fax
(419) 996-3331
NPI assigned
Aug 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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 SP.09757 OH Primary

Addresses

Primary practice location

615 Tremont Ave
Lima, OH 45801-3500

Mailing address

615 Tremont Ave
Lima, OH 45801-3500
Phone (419) 996-3330

Other practice location 1

925 E 3rd St
Lima, OH 45804-2505
Phone (419) 996-3300

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP.09757OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1578346342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 TREMONT AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458013500",
            "telephone_number": "419-996-3330",
            "fax_number": "419-996-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 TREMONT AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458013500",
            "telephone_number": "419-996-3330",
            "fax_number": "419-996-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458042505",
            "country_code": "US",
            "telephone_number": "419-996-3300",
            "fax_number": "419-996-3301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILTSIE",
        "first_name": "LAINA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.09757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.