Active NPI
Denise Wofford, M.S. CCC-SLP
- Speech-Language Pathologist
- New Smyrna Beach, FL
National Provider Identifier
1841599602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA4284
- Practice address
- 987 Sugar Mill Dr
New Smyrna Beach, FL 32168-2036 - Phone
- (386) 427-2703
- NPI assigned
- Mar 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | SA4284 | FL | Primary |
Addresses
Primary practice location
987 Sugar Mill Dr
New Smyrna Beach, FL 32168-2036
Mailing address
987 Sugar Mill Dr
New Smyrna Beach, FL 32168-2036
Phone (386) 427-2703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA4284 | Other | FL | STATE LICENSE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA4284 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300492800000",
"number": "1841599602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "987 SUGAR MILL DR",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321682036",
"telephone_number": "386-427-2703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "987 SUGAR MILL DR",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321682036",
"telephone_number": "386-427-2703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOFFORD",
"first_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-19",
"last_updated": "2011-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA4284",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "SA4284",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Smyrna Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.