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BROOKE L WILSON CCC-SLP
NPI 1255612446
Speech-Language Pathologist in Ponte Vedra Beach, FL

Active since September 01, 2011
1143 SALT CREEK DRIVE, PONTE VEDRA BEACH, FL 32082(321) 230-3800 Get Directions Write a Review

NPPES record last updated: March 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2018, Jun 15, 2017 (2 updates tracked since 2017).

About Brooke L Wilson Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKE L WILSON CCC-SLP (NPI 1255612446) is an individual speech-language pathologist provider in Ponte Vedra Beach, Florida, licensed in Florida (SA11587) and active in the NPI registry since September 2011. She maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1255612446
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameBROOKE L WILSONCredential: CCC-SLP
Location Address1143 SALT CREEK DRIVEPonte Vedra Beach, FL 32082
Mailing Address1143 Salt Creek DrivePonte Vedra Beach, FL 32082 · (904) 318-6969
Phone(321) 230-3800
Sole ProprietorNo
Enumeration DateSeptember 1, 2011
Last NPPES UpdateMarch 23, 20182 updates tracked since enumeration
✔ NPI 1255612446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in FL · SA11587✔ Licensed in FL · SZ5331
Definition
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.
1143 SALT CREEK DRIVE, Ponte Vedra Beach, FL 32082
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Other Names 1

Other Name (5)Brooke Davis

Secondary Practice Location 1

Location 1807 Childrens Way, Nemours Childrens Clinic, JacksonvilleJacksonville, FL 32207-8426 · Phone (904) 697-3600 · Fax (904) 697-3792

Other Identifiers 1

Medicaid010224300FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brooke Wilson's NPI number?

The NPI number for Brooke Wilson is 1255612446. It was assigned to this individual provider in the NPPES registry on September 1, 2011. The provider is also known as Brooke Davis.

Where is Brooke Wilson located?

Brooke Wilson practices at 1143 Salt Creek Drive, Ponte Vedra Beach, FL 32082. The listed phone number is (321) 230-3800.

What is Brooke Wilson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Brooke Wilson was last updated on March 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.