SUSANNA ELEANOR WOOTEN (NPI# 1063056968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063056968 |
| Entity Type | Individual |
| Full Name | SUSANNA ELEANOR WOOTEN |
| Credential | MSP-CCC,SLP |
| Practice Address |
16147 Lancaster Hwy Ste 130 Charlotte NC 28277-2051 |
| Practice Telephone | 7043079541 |
| Mailing Telephone | 7043079541 |
| Mailing Fax Number | 7045401197 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 13223 | NC | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONE | NA | 01 |
| Street Address |
16147 LANCASTER HWY STE 130 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275177115 | Andrea Kellner | Occupational Therapy Assistant | 16147 Lancaster Hwy Ste 130, Charlotte, NC 28277-2051 | 2019-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345112 | Good Shepherd Therapy | Speech-Language Pathologist | 10301 Oak Pond Cir, Charlotte, NC 28277-9506 | 2020-10-30 |
| 1922616036 | Mila Therapy Services | Speech-Language Pathologist | 14165 Dunbritton Ln Apt 1312, Charlotte, NC 28277-2452 | 2020-07-15 |
| 1437776309 | Anna Hardison | Speech-Language Pathologist | 9934 Meadowmead Ct, Charlotte, NC 28273-3367 | 2020-06-26 |
| 1326696345 | Elizabeth Jane Buie | Speech-Language Pathologist | 5928 Winburn Ln, Charlotte, NC 28226-8152 | 2019-09-03 |
| 1053967398 | Marissa Pardini | Speech-Language Pathologist | 101 E Wt Harris Blvd Ste 5100, Charlotte, NC 28262-3485 | 2019-08-13 |
| 1003469008 | Lauren Jane Cownie | Speech-Language Pathologist | 523 Ridgeway Ave Apt 101, Charlotte, NC 28204-0023 | 2019-07-18 |
| 1558914838 | Margaret Thompson Fitzgerald | Speech-Language Pathologist | 1205 S Tryon St Unit 1448, Charlotte, NC 28203-4393 | 2019-07-16 |
| 1386205763 | Alyssa Dudley | Speech-Language Pathologist | 1331 W Morehead St Apt 544, Charlotte, NC 28208-5391 | 2019-06-26 |
| 1992262018 | Katherine Grace Bias | Speech-Language Pathologist | 11709 Freuhaud Dr Ste. 123, Charlotte, NC 28273 | 2019-02-25 |
| 1679049407 | Speech Builders Therapy Services | Speech-Language Pathologist | 3020i Prosperity Church Rd Ste 415, Charlotte, NC 28269-8112 | 2018-10-19 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.