Individual provider Active NPI

Morgan A Wood, MA, CCC-SLP

  • Speech-Language Pathologist
  • Bradenton, FL
National Provider Identifier
1689182446
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ8170 Issued in FL
Practice address
872 62ND Street Cir E Ste 101-103
Bradenton, FL 34208-6238
Phone
(941) 251-6825
Fax
(941) 201-1626
NPI assigned
Jan 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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 SZ8170 FL Primary

Addresses

Primary practice location

872 62ND Street Cir E Ste 101-103
Bradenton, FL 34208-6238

Mailing address

872 62ND Street Cir E Ste 101-103
Bradenton, FL 34208-6238
Phone (941) 251-6825

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 Arts

State licenses

LicenseStateTypeSpecialty
SZ8170FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1689182446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 62ND STREET CIR E STE 101-103",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342086238",
            "telephone_number": "941-251-6825",
            "fax_number": "941-201-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 62ND STREET CIR E STE 101-103",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342086238",
            "telephone_number": "941-251-6825",
            "fax_number": "941-201-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MORGAN",
        "middle_name": "A",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ8170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.