Active NPI
Meredith Wilson
- Speech-Language Pathologist
- Wallingford, CT
National Provider Identifier
1972084341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5470
- Practice address
- 101 N Plains Industrial Rd
Wallingford, CT 06492-2360 - Phone
- (203) 949-9337
- NPI assigned
- Aug 23, 2018
- 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 | 5470 | CT | Primary |
Addresses
Primary practice location
101 N Plains Industrial Rd
Wallingford, CT 06492-2360
Mailing address
101 N Plains Industrial Rd BLDG 2
Wallingford, CT 06492-2360
Phone (203) 949-9337
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534982400000",
"number": "1972084341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N PLAINS INDUSTRIAL RD BLDG 2",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064922360",
"telephone_number": "203-949-9337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N PLAINS INDUSTRIAL RD",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064922360",
"telephone_number": "203-949-9337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MEREDITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-23",
"last_updated": "2018-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "5470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wallingford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.