Andrea Vivian Wright, MA CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

002416 Issued in CT

Practice address

13 Park Lawn Dr
Bethel, CT 06801-1043

Phone

(203) 830-4180

NPI assigned

Feb 9, 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

• Andrea Vivian Fountain Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1861798803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 TAUNTON LAKE RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701450",
            "telephone_number": "203-364-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 PARK LAWN DR",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011043",
            "telephone_number": "203-830-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "ANDREA",
        "middle_name": "VIVIAN",
        "credential": "MA CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "002416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "FOUNTAIN",
            "middle_name": "VIVIAN",
            "credential": "MA CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Williams, OTR/L
• Christina Ann Willis, DC
• Jocelyn Willsey
• Richard Steven Wilson, DC
• Margaret Pyne Woglom, LCSW
• Mitchell M Yeon, PHARM.D., MBA
• Rosalie NA Young, LCSW
• Daria F Yuschak, R.PH.
• Samir F Zaky

• Speech-Language Pathologist in Bethel, CT
• Providers in Bethel, CT by specialty
• Speech-Language Pathologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.