Active NPI
Wendy Jones Pulliam, MS, CCC-SLP
- Speech-Language Pathologist
- Victoria, VA
National Provider Identifier
1710102256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202005151
- Practice address
- 2027 8TH St
Victoria, VA 23974-4506 - Phone
- (434) 395-2972
- NPI assigned
- Apr 17, 2007
- Last updated
- Apr 3, 2013
- 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 | 2202005151 | VA | Primary |
Addresses
Primary practice location
2027 8TH St
Victoria, VA 23974-4506
Mailing address
2027 8TH St
PO Box 961
Victoria, VA 23974-4506
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 Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longwood University | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Longwood Speech, Hearing and Learning Services
- Hearing Aid Equipment
- Farmville, VA
- NPI 1962881631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364947200000",
"number": "1710102256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2027 8TH ST",
"address_2": "PO BOX 961",
"city": "VICTORIA",
"state": "VA",
"postal_code": "239744506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2027 8TH ST",
"city": "VICTORIA",
"state": "VA",
"postal_code": "239744506",
"telephone_number": "434-395-2972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULLIAM",
"first_name": "WENDY",
"middle_name": "JONES",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2013-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202005151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victoria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.