Jaye Stansbury Wilson, M.A., CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1112 Issued in NC

Practice address

535 E Pine St
Riverside Professional Offices, Suite 211
Mount Airy, NC 27030-3951

Phone

(336) 786-1210

Fax

(336) 786-1408

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689785388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 901",
            "city": "PILOT MOUNTAIN",
            "state": "NC",
            "postal_code": "270410901",
            "telephone_number": "336-786-1210",
            "fax_number": "336-786-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E PINE ST",
            "address_2": "RIVERSIDE PROFESSIONAL OFFICES, SUITE 211",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270303951",
            "telephone_number": "336-786-1210",
            "fax_number": "336-786-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JAYE",
        "middle_name": "STANSBURY",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "88341",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7210340",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan C Wilkie
• William L Barham DDS PA
• Abigail Grace Williams
• Robert Van Williamson, M.D.
• Erica Joyce Wilson, DNP, CPNP
• Elizabeth Nicole Wimbish, LMBT #17194
• Angelika Wolf, OTD, OTR/L
• Alice Smith Wood, PA-C
• Candace Hayley Wood, PHARMD
• Emma Aldridge Wood

• Speech-Language Pathologist in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.