Active NPI
Paula Wylie, M.S., CCC-SLP
- Speech-Language Pathologist
- Chesterland, OH
National Provider Identifier
1629419874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP12016
- Practice address
- 8615 Cedar Rd
Chesterland, OH 44026-3519 - Phone
- (440) 729-5900
- NPI assigned
- Jul 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4852 | TN | |
| Speech-Language Pathologist | 235Z00000X | SP12016 | OH | Primary |
Addresses
Primary practice location
8615 Cedar Rd
Chesterland, OH 44026-3519
Mailing address
8615 Cedar Rd
Chesterland, OH 44026-3519
Phone (440) 665-6731
Other practice location 1
9040 Executive Park Dr
Suite 105
Knoxville, TN 37923-4640
Phone (865) 693-5622
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4852 | TN | MD | Pharmacist |
| SP12016 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1629419874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8615 CEDAR RD",
"city": "CHESTERLAND",
"state": "OH",
"postal_code": "440263519",
"telephone_number": "440-665-6731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8615 CEDAR RD",
"city": "CHESTERLAND",
"state": "OH",
"postal_code": "440263519",
"telephone_number": "440-729-5900"
}
],
"practiceLocations": [
{
"address_1": "9040 Executive Park Dr",
"address_2": "Suite 105",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379234640",
"country_code": "US",
"telephone_number": "865-693-5622",
"fax_number": "865-769-0801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYLIE",
"first_name": "PAULA",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-16",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "4852",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP12016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.