Active NPI
Jessica Wall, SLP
- Speech-Language Pathologist
- Lewes, DE
National Provider Identifier
1891005658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01-0001178
- Practice address
- 1270 Kings Hwy
Lewes, DE 19958-1735 - Phone
- (302) 684-4950
- Fax
- (302) 684-8931
- NPI assigned
- Oct 14, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 01-0001178 | DE | Primary |
Addresses
Primary practice location
1270 Kings Hwy
Lewes, DE 19958-1735
Mailing address
1270 Kings Hwy
Lewes, DE 19958-1735
Phone (302) 684-4950
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-0001178 | DE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601596800000",
"number": "1891005658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1270 KINGS HWY",
"city": "LEWES",
"state": "DE",
"postal_code": "199581735",
"telephone_number": "302-684-4950",
"fax_number": "302-684-8931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1270 KINGS HWY",
"city": "LEWES",
"state": "DE",
"postal_code": "199581735",
"telephone_number": "302-684-4950",
"fax_number": "302-684-8931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALL",
"first_name": "JESSICA",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-14",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "DE",
"license": "01-0001178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.