Individual provider Active NPI

Victoria M Wellman, ST

  • Speech-Language Pathologist
  • Amarillo, TX
National Provider Identifier
1831619246
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
113492 Issued in TX
Practice address
3501 S Soncy Rd Ste 137
Amarillo, TX 79119-6406
Phone
(806) 331-6084
Fax
(806) 336-6085
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 113492 TX Primary

Addresses

Primary practice location

3501 S Soncy Rd Ste 137
Amarillo, TX 79119-6406

Mailing address

3501 S Soncy Rd Ste 137
Amarillo, TX 79119-6406
Phone (806) 331-6084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180622001497 TX Practitioner - Qualified Speech Language Pathologist 0244585834 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113492TXMDEnvironmental Modification Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Century Rehabilitation of Texas LLC Speech-Language Pathologist CurrentSince Mar 9, 2023 Accepting new patients

Locations

4703 Bluebonnet Blvd
Baton Rouge, LA 70809
Phone (225) 661-2222

400 W 14th Ave
Amarillo, TX 79101
Phone (806) 337-4000

1510 S Van Buren St
Amarillo, TX 79101
Phone (806) 337-4000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831619246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD STE 137",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196406",
            "telephone_number": "806-331-6084",
            "fax_number": "806-336-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD STE 137",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196406",
            "telephone_number": "806-331-6084",
            "fax_number": "806-336-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLMAN",
        "first_name": "VICTORIA",
        "middle_name": "M",
        "credential": "ST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.