JENNIFER WIEDMEYER (NPI# 1730431990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730431990 |
| Entity Type | Individual |
| Full Name | JENNIFER WIEDMEYER |
| Credential | C.F.,SLP |
| Practice Address |
1119 N Wisconsin St Port Washington WI 53074-1209 |
| Practice Telephone | 2622845892 |
| Practice Fax Number | 2622841612 |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 3750-154 | WI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICARE NUMBER | 525586 | 01 |
| WI | 20182700 | 05 |
| Street Address |
1119 N WISCONSIN ST |
| City | PORT WASHINGTON |
| State | WI |
| Zip Code | 53074-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407927148 | Extendicare Homes, Inc. | Skilled Nursing Facility | 1119 N Wisconsin St, Port Washington, WI 53074-1209 | 2006-11-13 |
| 1891213617 | Nsh Port Washington LLC | Skilled Nursing Facility | 1119 N Wisconsin St, Port Washington, WI 53074-1209 | 2017-08-31 |
| 1588198857 | Stephanie Cooper | Speech-Language Pathologist | 1119 N Wisconsin St, Port Washington, WI 53074 | 2017-04-13 |
| 1144698531 | Brianna Rae Zimmerman | Physical Therapist | 1119 N Wisconsin St, Port Washington, WI 53074-1209 | 2015-09-02 |
| 1205228525 | Fmg North Wisconsin Street Wisconsin LLC | Skilled Nursing Facility | 1119 N Wisconsin St, Port Washington, WI 53074-1209 | 2015-02-24 |
| 1235538851 | Meghan Cleereman | Physical Therapy Assistant | 1119 N Wisconsin St, Port Washington, WI 53074-1209 | 2014-08-19 |
| 1295174100 | Gretel Weiskopf | Physical Therapy Assistant | 1119 N Wisconsin St, Port Washington, WI 53074-1209 | 2013-06-25 |
| 1619316502 | Brittney Nichole Yunto | Physical Therapist | 1119 N Wisconsin St, Port Washington, WI 53074-1209 | 2013-06-24 |
| 1457649352 | Anthony Jack Ettmayer Jr. | Physical Therapist | 1119 N Wisconsin St, Port Washington, WI 53074-1209 | 2011-07-13 |
| 1417270893 | Tiffany Rindt | Speech-Language Pathologist | 1119 N Wisconsin St, Port Washington, WI 53074-1209 | 2010-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045864 | Heather Kay Brede | Technician | 857 Ashley Avenue, Port Washington, WI 53074 | 2019-10-23 |
| 1780062034 | Amanda Zitzer | Specialist/Technologist | 1037 S Spring Street, Apt 257, Port Washington, WI 53074 | 2015-05-07 |
| 1639507643 | Kelly Mulder | Occupational Therapy Assistant | 138 E Prospect St, Port Washington, WI 53074 | 2013-10-30 |
| 1235310921 | Susan Ann Dobberpuhl | Occupational Therapist | 306 N Sprint St, Port Washington, WI 53074 | 2007-11-21 |
| 1245444736 | Lee B Raffel | Social Worker | 3632 E Norport Drive, Port Washington, WI 53074 | 2007-05-10 |
| 1023143708 | Joshua E Leute | Dentist | 1317 West Grand Avenue, Port Washington, WI 53074 | 2007-02-22 |
| 1578633806 | Robert Andrew Kortsch | Dentist | 457 W Grand Ave, Port Washington, WI 53074 | 2006-11-08 |
| 1538256409 | Daniel P Witkowski | Dentist | 1612 N Wisconsin St, Port Washington, WI 53074 | 2006-10-10 |
| 1477584878 | Francine L Cosner | Obstetrics & Gynecology | 1777 W Grand Avenue, Port Washington, WI 53074 | 2006-07-05 |
| 1013953926 | Port Washington Podiatry Inc | Podiatrist | 1317 W Grand Avenue, Port Washington Podiatry, Port Washington, WI 53074 | 2006-06-20 |
| Find all providers in zip 53074 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336700350 | Annemarie Wood | Speech-Language Pathologist | 33a Yennicock Ave, Port Washington, NY 11050-2130 | 2019-06-21 |
| 1720544455 | Emily Belter Slp LLC | Speech-Language Pathologist | 110 S Wisconsin St Ste 8, Port Washington, WI 53074-2249 | 2019-02-19 |
| 1891214680 | Elissa S Rotolo | Speech-Language Pathologist | 189 Soundview Dr, Port Washington, NY 11050-1709 | 2017-09-13 |
| 1225427750 | Lisa Paolotti | Speech-Language Pathologist | 68b Mackey Ave, Port Washington, NY 11050-3934 | 2015-01-21 |
| 1669872701 | Dara Bain | Speech-Language Pathologist | 29 Annette Dr, Port Washington, NY 11050-2803 | 2014-08-26 |
| 1902237316 | Cheryl Goldfarb | Speech-Language Pathologist | 11 Leeds Drive, Port Washington, NY 11050 | 2013-12-11 |
| 1811328859 | Debra Lynne Saltzman | Speech-Language Pathologist | 1325 N Theis Ln, Port Washington, WI 53074-1245 | 2013-12-02 |
| 1184963811 | Felicity Iris O'brien | Speech-Language Pathologist | 54 Millpond Rd, Port Washington, NY 11050-2215 | 2013-01-31 |
| 1841569910 | Lillian Wright Sears | Speech-Language Pathologist | 1321 Port Washington Blvd, Port Washington, NY 11050-3016 | 2011-12-20 |
| 1346518610 | Beatrice Gavin Pate | Speech-Language Pathologist | 10 Newbury Rd, Port Washington, NY 11050-4414 | 2011-12-01 |
| Find all providers in PORT WASHINGTON | ||||
| City | PORT WASHINGTON |
| Zip Code | 53074 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.