Anita H Wiese, ST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP8366 Issued in OH

Practice address

6831 N Chestnut St
Ravenna, OH 44266-3929

Phone

(330) 297-4564

NPI assigned

Oct 28, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: awilcox39033@ehrdirect.uhhospitals.org

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1710978879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 E MAIN ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663218",
            "telephone_number": "330-297-9020",
            "fax_number": "330-297-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6831 N CHESTNUT ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663929",
            "telephone_number": "330-297-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESE",
        "first_name": "ANITA",
        "middle_name": "H",
        "credential": "ST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP8366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH BD OF SPEECH LANG PATH",
            "identifier": "SP8366",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael P Whitmore
• Scarlet Whitmore
• Tryston Whitmore
• Robert Daniel Wicks, D.D.S.
• Sandon Scott Wiedemann, D.M.D.
• Deanna Wilhelm
• Tanya J. Wilhelm, CRNA
• Charlie Williams
• Glen Robert Williams Jr., NURSING
• Stacy Williams

• Speech-Language Pathologist in Ravenna, OH
• Providers in Ravenna, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.