Individual provider Active NPI

Ann Marie Wemgloski, SPEECH PATHOLOGIST

  • Speech-Language Pathologist
  • Bear, DE
National Provider Identifier
1629438411
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
O1-0001510 Issued in DE
Practice address
925 Bear Corbitt Rd
Bear, DE 19701-1323
Phone
(302) 454-2400
Fax
(302) 454-5440
NPI assigned
Mar 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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 O1-0001510 DE Primary

Addresses

Primary practice location

925 Bear Corbitt Rd
Bear, DE 19701-1323

Mailing address

925 Bear Corbitt Rd
Bear, DE 19701-1323
Phone (302) 454-2400

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

State licenses

LicenseStateTypeSpecialty
O1-0001510DEMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1629438411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 BEAR CORBITT RD",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011323",
            "telephone_number": "302-454-2400",
            "fax_number": "302-454-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 BEAR CORBITT RD",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011323",
            "telephone_number": "302-454-2400",
            "fax_number": "302-454-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEMGLOSKI",
        "first_name": "ANN MARIE",
        "credential": "SPEECH PATHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DE",
            "license": "O1-0001510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.