Denise Wingo, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2013017261 Issued in MO

Practice address

1700 S Hudson Ave
Aurora, MO 65605-2717

Phone

(417) 818-8011

NPI assigned

Jun 19, 2012

Last updated

Dec 11, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Open Doors Speech Therapy LLC

  • Hearing and Speech Clinic/Center
  • Republic, MO
  • NPI 1033653001
  Authorized official Same address or phone

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481414400000",
    "number": "1851654511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 S MAPLE AVE",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657382219",
            "telephone_number": "417-818-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S HUDSON AVE",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656052717",
            "telephone_number": "417-818-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGO",
        "first_name": "DENISE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2016-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2013017261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Verheyen
• Holly Lynn Wade, M.S., P.L.P.C.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0092)
• Anna Walters
• John A. Watts, D.C.
• Christopher Winters, M.S., PLPC
• Traci Lynn Witthuhn, LCSW
• Bethany Anne Woods, FNP
• Jaci Lynn Woods, RD, LD
• Karah Dawn Young, LCSW

• Speech-Language Pathologist in Aurora, MO
• Providers in Aurora, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2016; 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.