Individual provider Active NPI

Cayla Weller, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Elkton, MD
National Provider Identifier
1689954430
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
07131 Issued in MD
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

Updated by the provider on Jan 15, 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 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 Former name

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

LicenseStateTypeSpecialty
07131MDMDSpeech-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.

Verify at the official NPI Registry.