Organization Active NPI

Growing Wings Therapy LLC

  • Speech-Language Pathologist
  • Jacksonville, FL
National Provider Identifier
1609536309
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
GROWING WINGS THERAPY LLC
Practice address
6001 Argyle Forest Blvd Ste 215
Jacksonville, FL 32244-6664
Phone
(904) 469-0244
NPI assigned
Dec 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Sharhonda Wingo, MS, CCC-SLPNPI 1275069643
Title
Owner/Speech-Language Pathologist
Phone
(904) 469-0244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary
Hearing and Speech Clinic/Center 261QH0700X

Addresses

Primary practice location

6001 Argyle Forest Blvd Ste 215
Jacksonville, FL 32244-6664

Mailing address

6001 Argyle Forest Blvd Ste 215
Jacksonville, FL 32244-6664

National Provider Directory

National Provider Directory

Locations

6001 Argyle Forest Blvd
Ste 215
Jacksonville, FL 32244
Phone (904) 469-0244

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1609536309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 ARGYLE FOREST BLVD STE 215",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 ARGYLE FOREST BLVD STE 215",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446664",
            "telephone_number": "904-469-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING WINGS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "WINGO",
        "authorized_official_first_name": "SHARHONDA",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "904-469-0244",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.