Courtney R Wilson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202005998 Issued in VA

Practice address

605 Jefferson Davis Hwy
Suite 101
Fredericksburg, VA 22401-8403

Phone

(540) 446-2654

Fax

(540) 371-3748

NPI assigned

Oct 6, 2011

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 names 1

• Courtney R Johnson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1780968909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018403",
            "telephone_number": "540-446-2654",
            "fax_number": "540-371-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018403",
            "telephone_number": "540-446-2654",
            "fax_number": "540-371-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "COURTNEY",
        "middle_name": "R",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "JOHNSON",
            "middle_name": "R",
            "credential": "SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Willoughby, AU.D
• Tasha N Willoughby, DDS
• Andrea Wilson, PT
• Bonita Wesley Wilson, M. D.
• Brett Wilson
• Emily L Wilson, OT
• Felicia Wilson
• Jennifer Leigh Wilson, F.N.P.
• Johanna A Wilson, PTA
• Leon M Wilson, LPC

• Speech-Language Pathologist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.