Individual provider Active NPI

Bonnie Elizabeth Walter

  • Speech-Language Pathologist
  • Waynesville, NC
National Provider Identifier
1902763972
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
39698 Issued in CA
Practice address
89 Waynesville PLZ # 1009
Waynesville, NC 28786-2990
Phone
(828) 222-3824
Fax
(828) 575-5874
NPI assigned
Jan 9, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 30004774 NC
Speech-Language Pathologist 235Z00000X SP.16411 OH
Speech-Language Pathologist 235Z00000X 39698 CA Primary

Addresses

Primary practice location

89 Waynesville PLZ # 1009
Waynesville, NC 28786-2990

Mailing address

89 Waynesville PLZ # 1009
Waynesville, NC 28786-2990
Phone (828) 222-3824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260210001156 NC Practitioner - Qualified Speech Language Pathologist 0840779815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Speech and VoiceGroup PAC ID 4183056344, 5 clinicians

Practice addresses (Care Compare)

89 Waynesville PLZ
Suite 1009
Waynesville, NC 28786-2990
Phone (828) 222-3824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39698CAMDSpeech-Language Pathologist
30004774NCMDSpeech-Language Pathologist
SP.16411OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Speech and Voice Speech-Language Pathologist CurrentSince Jan 19, 2026 Accepting new patients

Locations

89 Waynesville Plz
Waynesville, NC 28786
Phone (828) 222-3824

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1902763972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 WAYNESVILLE PLZ # 1009",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287862990",
            "telephone_number": "828-222-3824",
            "fax_number": "828-575-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 WAYNESVILLE PLZ # 1009",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287862990",
            "telephone_number": "828-222-3824",
            "fax_number": "828-575-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "BONNIE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30004774",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.16411",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "39698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.