Annika Marie Wilson, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14380 Issued in NC

Practice address

234 Crooked Creek Pkwy
Durham, NC 27713-8505

Phone

(919) 385-5318

NPI assigned

Aug 11, 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

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Blue Ridge Speech and Voice

  • Speech-Language Pathologist
  • Waynesville, NC
  • NPI 1366091944
  Medicare reassignment
• Duke Health Integrated Practice, Inc.

  • General Practice Physician
  • Durham, NC
  • NPI 1205553369
  NPD

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1891306171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 CROOKED CREEK PKWY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 CROOKED CREEK PKWY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138505",
            "telephone_number": "919-385-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ANNIKA",
        "middle_name": "MARIE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "14380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Adalyn Wilson Westmark, DMD, MPH
• Rochelle Wilson-Pridgen, CPT
• Alexandria Wilson
• Allen Wilson
• Alyssa Wilson
• Ashley B. Wilson, LCMHC-A
• Bonnie C Wilson, RD
• Catherine Alexander Wilson, PT, DPT, MSPH
• Christina L Wilson, LQP, MSW, LCSW, LCAS
• Duncan Scott Wilson

• Speech-Language Pathologist in Durham, NC
• Providers in Durham, 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 Aug 11, 2020; 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.