Jennifer Wilson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

110445 Issued in TX

Practice address

4545 Meadow Ridge Dr
Amarillo, TX 79118-1490

Phone

(806) 677-2586

NPI assigned

Dec 2, 2008

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Canyon Independent School District

  • Speech-Language Pathologist
  • Canyon, TX
  • NPI 1568278182
  NPD
• Therapysource for Kids, Inc.

  • Hearing and Speech Clinic/Center
  • Tulsa, OK
  • NPI 1447395033

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1730334947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 N 23RD ST",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790156166",
            "telephone_number": "806-677-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 MEADOW RIDGE DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791181490",
            "telephone_number": "806-677-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JENNIFER",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.e.wilson@canyonisd.net",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4545 Meadow Ridge Dr",
            "city": "Amarillo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "791181490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Breezi Leeann Wilson, RN
• Charity Bess Wilson, MS, CCC-SLP
• Diane Broady Wilson, LPC
• Erin Michelle Wilson, PTA
• Howard Franklin Wilson, PH.D.
• Joanna Wilson, DO
• John Patrick Wilson, RPH
• Kaul Wilson, CNP
• Susan Jane Wilson, MED., LPC
• Madyson Vawn Wimer, COTA

• Speech-Language Pathologist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.