ELISE KATHRYN WILD M.S., CCC-SLP
NPI 1255755633
Speech-Language Pathologist in Charlotte, NC

Q: What is Elise Wild's NPI number?

The NPI number for Elise Wild is 1255755633. It was assigned to this individual provider in the NPPES registry on February 6, 2014. The provider is also known as Elise Kathryn Lomboy.

Q: What is Elise Wild's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elise Wild was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 06, 2014

6035 FAIRVIEW RD, CHARLOTTE, NC 28210(704) 295-3000 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 28, 2021, Dec 16, 2019 (2 updates tracked since 2019).

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About Elise Kathryn Wild M.s., Ccc-slp NPPES

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

ELISE KATHRYN WILD M.S., CCC-SLP (NPI 1255755633) is an individual speech-language pathologist provider in Charlotte, North Carolina, licensed in North Carolina (13354) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1255755633

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameELISE KATHRYN WILDCredential: M.S., CCC-SLP

Location Address6035 FAIRVIEW RDCharlotte, NC 28210-3256

Mailing Address6035 Fairview RdCharlotte, NC 28210-3256 · (704) 295-3000

Phone(704) 295-3000

Sole ProprietorNo

Enumeration DateFebruary 6, 2014

Last NPPES UpdateApril 28, 20212 updates tracked since enumeration

NPPES CertifiedApril 28, 2021

✔ NPI 1255755633 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 NC · 13354✔ Licensed in DE · O1-0001358

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.

6035 FAIRVIEW RD, Charlotte, NC 28210

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Other Names 1

Former Name (1)Elise Kathryn Lomboy

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUKAS DAVID DUMBERGER MD

Otolaryngology