Amelia Wall Williams, MA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30000500 Issued in NC

Practice address

18676 US Highway 17
Hampstead, NC 28443-4049

Phone

(910) 821-1700

NPI assigned

Jul 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, TX2 enrollments

Enrollment records 2

Specialty

Qualified Speech Language Pathologist

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Raise the Bar Therapy Services

  • Multi-Specialty Clinic/Center
  • Hampstead, NC
  • NPI 1023486602

  Speech-Language Pathologist

  Medicare reassignment NPD
• Marvel Orofacial Myofunctional Therapy

  dba MarvelMyo & Speech, PLLC

  • Speech-Language Pathologist
  • Keller, TX
  • NPI 1336913532

  NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1871166744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 PINFISH LN UNIT 1",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284285627",
            "telephone_number": "828-390-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18676 US HIGHWAY 17",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284434049",
            "telephone_number": "910-821-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AMELIA",
        "middle_name": "WALL",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "2203221",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30000500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Graves Mental Health Services, PLLC
• Madeline Brophy Wieman, LCSW
• Alexandra Wijnhoud, RBT
• William J Mattox MD PA
• William Luther Center
• Siana Lee Williams
• Steffany O Williams, LPT
• Wilmington Health PLLC
• Hallie Coleman Wilson, DPT
• Woodbury Wellness Center Inc

• Speech-Language Pathologist in Hampstead, NC
• Providers in Hampstead, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.