Active NPI
Patricia M Wolcott
- Speech-Language Pathologist
- Bradenton, FL
National Provider Identifier
1750508875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA0001059
- Practice address
- 701 Manatee Ave W
Suite 201
Bradenton, FL 34205-8604 - Phone
- (941) 749-5222
- Fax
- (941) 749-1839
- NPI assigned
- Apr 19, 2007
- Last updated
- Jul 8, 2007
- 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 | SA0001059 | FL | Primary |
Addresses
Primary practice location
701 Manatee Ave W
Suite 201
Bradenton, FL 34205-8604
Mailing address
701 Manatee Ave W
Suite 201
Bradenton, FL 34205-8604
Phone (941) 749-5222
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34209A006 | Other | FL | CHAMPUS |
| 8207561 | Other | FL | AETNA |
| S1123 | Other | FL | BCBS |
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 |
|---|---|---|---|
| SA0001059 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manatee Hearing & Speech Center, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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.
-
- Audiologist
- Bradenton, FL
- NPI 1215939590
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750508875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 MANATEE AVE W",
"address_2": "SUITE 201",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342058604",
"telephone_number": "941-749-5222",
"fax_number": "941-749-1839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 MANATEE AVE W",
"address_2": "SUITE 201",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342058604",
"telephone_number": "941-749-5222",
"fax_number": "941-749-1839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLCOTT",
"first_name": "PATRICIA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA0001059",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "34209A006",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "8207561",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "S1123",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.