Wayne Flewelling, CCC/SP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8011026 Issued in VT

Practice address

142 Hudson Ter
Pittsford, VT 05763-9438

Phone

(802) 779-3539

NPI assigned

May 21, 2015

Last updated

May 21, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1932588191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 HUDSON TER",
            "city": "PITTSFORD",
            "state": "VT",
            "postal_code": "057639438",
            "telephone_number": "802-779-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 HUDSON TER",
            "city": "PITTSFORD",
            "state": "VT",
            "postal_code": "057639438",
            "telephone_number": "802-779-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEWELLING",
        "first_name": "WAYNE",
        "credential": "CCC/SP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VT",
            "license": "8011026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Dumas, FNP
• Robert C. Larson, D.C.
• Kate Nichols Lathrop, LICSW
• Walter J Nuzzolo, DC
• Molly Lynn Pratt, SLP
• Patricia Ann Thomas, OT/L

• Speech-Language Pathologist in Pittsford, VT
• Providers in Pittsford, VT by specialty
• Speech-Language Pathologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.