Chloe Wise

Primary specialty

Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X

Practice address

360 Caduceus Way Building 600 - Suite 101.
Watkinsville, GA 30677

Phone

(866) 610-0580

NPI assigned

Oct 14, 2020

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1881292597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NUNNALLY RD SE",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306804240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CADUCEUS WAY BUILDING 600 - SUITE 101.",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "30677",
            "telephone_number": "866-610-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "CHLOE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.fusionautism.com/locations/athens/",
            "affiliation": "N",
            "address_1": "360 Caduceus Way Building 600 - Suite 101.",
            "city": "Watkinsville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wilson Ventures Inc.
• Johana Wilson
• Harry Lynnwood Wingate III, M.D.
• Wesley Thornhill Winkler, MA, APC
• Rhonda T Winters, NP-C
• Ashley Wolfe, RN
• Chelsea Womack, RBT
• Women'S Center of Athens
• Women'S Imaging Specialists - Athens, LLC
• Anna Belle Wood, MA, LPC

• Speech/Language/Hearing Specialist/Technologist in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Speech/Language/Hearing Specialist/Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.