Wylie Lynn Skillman, MS
Individual provider Active NPI Speech-Language Pathologist · Albuquerque, NM
NPI 1801616099 · NPPES record last updated Jan 21, 2025
Key facts
- NPI
- 1801616099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SAH-2024-0306 (NM)
- Practice address
- 2211 Lomas Blvd NE
Albuquerque, NM 87106-2719 - Phone
- (505) 272-4866
- NPI assigned
- Oct 14, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SAH-2024-0306 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unm Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SAH-2024-0306 | NM | Yes |
Addresses
Primary practice location
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Mailing address
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (760) 887-1474
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | UNMH@direct.health.unm.edu |
Other providers in Albuquerque, NM
- Jenna Skelton
- Janice Skidmore
- Skies Healthcare and Rehabilitation Center, LLC
- Seth Daniel Skiles
- Madeline Skillman Dean
- Skills Sprouts ABA Corp
- Skin LLC
- Claire Nicole Skinner
- Secilee Skinner
- Stephen A Skinner
All providers in Albuquerque, NM · Speech-Language Pathologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.