Individual provider Active NPI

Meredith Chelsea Willis, SLP

  • Speech-Language Pathologist
  • Huntington, WV
National Provider Identifier
1932536919
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
W4L136500098 Issued in WV
Practice address
2850 5TH Ave
Huntington, WV 25702-1436
Phone
(304) 529-6205
Fax
(304) 529-6209
NPI assigned
Oct 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X W4L136500098 WV Primary

Addresses

Primary practice location

2850 5TH Ave
Huntington, WV 25702-1436

Mailing address

2850 5TH Ave
P O Box 446
Huntington, WV 25702-1436
Phone (304) 529-6205

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

LicenseStateTypeSpecialty
W4L136500098WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cabell County Board of Education Past Accepting new patients
Cabell County Board of Education Past Accepting new patients

Organizations & group practices 2

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": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1932536919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 5TH AVE",
            "address_2": "P O BOX 446",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021436",
            "telephone_number": "304-529-6205",
            "fax_number": "304-529-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 5TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021436",
            "telephone_number": "304-529-6205",
            "fax_number": "304-529-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "MEREDITH",
        "middle_name": "CHELSEA",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "W4L136500098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.