Wanda Wims, M.A., CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

002424 Issued in IA

Practice address

729 21St St
Bettendorf, IA 52722-5004

Phone

(563) 359-1371

NPI assigned

Mar 5, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1609292358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5944 VANDERGINST CT",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221239",
            "telephone_number": "563-459-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 21ST ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527225004",
            "telephone_number": "563-359-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMS",
        "first_name": "WANDA",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-05",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "002424",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.011943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin James Willis, CADC
• Allyson Willits, RD, LDN
• Lisa Willson
• Amber Wilson
• Katherine S Wilson, ARNP
• Amy Margaret Wine, L.I.S.W.
• Rebecca Wingate
• Jonathan D Winston, MD
• Joseph Woelfel, DC
• Womens Care Specialists PC

• Speech-Language Pathologist in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Speech-Language Pathologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.