Brian Wisherd, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA5430 Issued in FL

Practice address

138 Lake Ada Cir
Sanford, FL 32773-5659

Phone

(407) 328-5336

Fax

(407) 328-5336

NPI assigned

Jul 21, 2006

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982624714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 LAKE ADA CIR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735659",
            "telephone_number": "407-328-5336",
            "fax_number": "407-328-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 LAKE ADA CIR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735659",
            "telephone_number": "407-328-5336",
            "fax_number": "407-328-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISHERD",
        "first_name": "BRIAN",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Willoughby
• Aundraya Wilson, PTA
• Wesley Wilson, PA-C
• Sheena Wimberly, LPN
• Wing Surgical PA
• James E Witherspoon IV, CCEMT-P, CCHW
• Austin B Witnauer, DPT
• Jenna Witt Wilkins, LMT
• Jennifer Mary Wixted, LCSW, CAP
• Leigh Kristin Wixted, COTA/L

• Speech-Language Pathologist in Sanford, FL
• Providers in Sanford, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.