Active NPI
Cheryl Wells, SLP
- Speech-Language Pathologist
- Watauga, TX
National Provider Identifier
1740657956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10780
- Practice address
- 6913 Lyndale Dr
Watauga, TX 76148-2143 - Phone
- (682) 298-4892
- NPI assigned
- Aug 24, 2015
- 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 | 10780 | TX | Primary |
Addresses
Primary practice location
6913 Lyndale Dr
Watauga, TX 76148-2143
Mailing address
6913 Lyndale Dr
Watauga, TX 76148-2143
Phone (682) 298-4892
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10780 | Other | TX | SPEECH LANGUAGE THERAPIST |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10780 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1740657956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6913 LYNDALE DR",
"city": "WATAUGA",
"state": "TX",
"postal_code": "761482143",
"telephone_number": "682-298-4892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6913 LYNDALE DR",
"city": "WATAUGA",
"state": "TX",
"postal_code": "761482143",
"telephone_number": "682-298-4892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "CHERYL",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "10780",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH LANGUAGE THERAPIST",
"identifier": "10780",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Watauga, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.