MEDICARE: VIRGINIA WINSTEAD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	30001284	NC

General Provider Information

NPI Number	:	1023745734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIRGINIA WINSTEAD

Provider Business Mailing Address
First Line	:	814 SHADOW LAKE DR
Second Line	:
City	:	WILLOW SPRING
State	:	NC
Zip	:	27592-9138
Country	:	US
Telephone Number	:	919-285-1647
Fax Number	:	919-576-1366

Provider Business Practice Location Address
First Line	:	4909 WATERS EDGE DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27606-2462
Country	:	US
Telephone Number	:	919-285-1647
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2022
Last Update Date	:	02/12/2026

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Directions to “ VIRGINIA WINSTEAD ” Practice Location

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