Active NPI
Cayla Weller, M.A. CCC-SLP
- Speech-Language Pathologist
- Elkton, MD
National Provider Identifier
1689954430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 07131
- Practice address
- 201 Booth St
Elkton, MD 21921-5618 - Phone
- (410) 996-5450
- NPI assigned
- Aug 25, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 07131 | MD | Primary |
Addresses
Primary practice location
201 Booth St
Elkton, MD 21921-5618
Mailing address
1011 Berk Rd
Leesport, PA 19533-8705
Phone (610) 376-4841
Other practice location 1
1011 Berk Rd
Leesport, PA 19533-8705
Phone (610) 376-4841 ext. 7619
Other names 1
- Miss Cayla Zukowski
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07131 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1689954430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 BERK RD",
"city": "LEESPORT",
"state": "PA",
"postal_code": "195338705",
"telephone_number": "610-376-4841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 BOOTH ST",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215618",
"telephone_number": "410-996-5450"
}
],
"practiceLocations": [
{
"address_1": "1011 Berk Rd",
"address_purpose": "LOCATION",
"city": "Leesport",
"state": "PA",
"postal_code": "195338705",
"country_code": "US",
"telephone_number": "610-376-4841 x7619",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELLER",
"first_name": "CAYLA",
"name_prefix": "Mrs.",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-25",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "07131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAYLA",
"last_name": "ZUKOWSKI",
"prefix": "MISS",
"credential": "M.A., CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.