JILL BAIN WINE M.A., CCC-SLP
NPI 1881059624
Speech-Language Pathologist in King George, VA

Q: What is Jill Wine's NPI number?

The NPI number for Jill Wine is 1881059624. It was assigned to this individual provider in the NPPES registry on December 21, 2015.

Q: What is Jill Wine'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 Jill Wine was last updated on July 14, 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.

Active since December 21, 2015

5254 POTOMAC DR STE A, KING GEORGE, VA 22485(540) 850-3940(571) 550-9758 Get Directions Write a Review

NPPES record last updated: July 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2018, Dec 21, 2015 (2 updates tracked since 2015).

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About Jill Bain Wine M.a., Ccc-slp NPPES

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

JILL BAIN WINE M.A., CCC-SLP (NPI 1881059624) is an individual speech-language pathologist provider in King George, Virginia, licensed in Virginia (2202007993) and active in the NPI registry since December 2015. She maintains a secondary practice location in Stafford.

NPPES Registry Identity

NPI1881059624

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameJILL BAIN WINECredential: M.A., CCC-SLP

Location Address5254 POTOMAC DR STE AKing George, VA 22485

Mailing Address7072 Kitchen DrKing George, VA 22485-5225 · (540) 850-3940 · Fax (571) 550-9758

Phone(540) 850-3940

Fax(571) 550-9758

Sole ProprietorYes

Enumeration DateDecember 21, 2015

Last NPPES UpdateJuly 14, 20182 updates tracked since enumeration

✔ NPI 1881059624 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

License✔ Licensed in VA · 2202007993

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.

5254 POTOMAC DR STE A, King George, VA 22485

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Secondary Practice Location 1

Location 12765 Jefferson Davis Hwy, Ste. 203Stafford, VA 22554-8331 · Phone (540) 720-2261 · Fax (540) 720-5660

Other Providers at the Same Location NPPES 6

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

MR. JAMES PRESTON FRYE JR. PERSONAL TRAINER

Day Training/Habilitation Specialist