Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184388860 Individual Practitioner Female Practitioner

Courtney Wild

Speech-Language Pathologist • Niceville, FL

Professional Overview & Biography Verified Profile Summary

Courtney Wild is a registered healthcare professional specializing in Speech-Language Pathologist in Niceville, FL. Practice services are available at 1069 JOHN SIMS PKWY E STE 4 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1069 John Sims Pkwy E Ste 4

Niceville, FL 325782768

Telephone 8508973013
Fax 8508970149
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Niceville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
20 Specialists

Practicing in Niceville, FL (11640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-10-28
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA19678

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Rachel Parden

Speech-Language Pathologist

NPI 1114654977
Heather Dew

Speech-Language Pathologist

NPI 1144605833
Kristen Bowers , MS CCC-SLP

Speech-Language Pathologist

NPI 1518180983

MSCCCSLP

Brianna Carolan , MS SLP

Speech-Language Pathologist

NPI 1609127752

MSSLP

Kelsey Carr

Speech-Language Pathologist

NPI 1821403270
Stephanie Lacorte

Speech-Language Pathologist

NPI 1922517101

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address January 27, 2025

Registered at 1069 JOHN SIMS PKWY E, STE 4, NICEVILLE, FL 325782768 (Tel: 8508973013)

NPI Profile Active October 28, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 28, 2021

Registered at 1069 JOHN SIMS PKWY E STE 4, NICEVILLE, FL 325782768 (Tel: 8508973013)

📍
Updated Business Mailing Address October 28, 2021

Registered at 1069 JOHN SIMS PKWY E, NICEVILLE, FL 325782767 (Tel: 8508973013)

👤
Provider Name / Credentials Updated October 28, 2021

Recorded as COURTNEY WILD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2021

Speech-Language Pathologist (License #SA19678 in FL)

🟢
Initial NPI Registration & Enumeration October 28, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184388860
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 28, 2021
Last Update: January 27, 2025
Sole Proprietor: No

Mailing Address

1069 John Sims Pkwy E, Ste 4

Niceville, FL 325782768

Phone: 8508973013

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.