Aimee A Balistreri, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4754 Issued in WI

Practice address

1836 South Ave
La Crosse, WI 54601-5429

Phone

(608) 782-7300

NPI assigned

Oct 23, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1003382425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Lyndale St N",
            "address_purpose": "LOCATION",
            "city": "Mabel",
            "state": "MN",
            "postal_code": "559543017",
            "country_code": "US",
            "telephone_number": "507-493-5436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 Main Ave S",
            "address_purpose": "LOCATION",
            "city": "Harmony",
            "state": "MN",
            "postal_code": "559396625",
            "country_code": "US",
            "telephone_number": "507-886-6544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 S Hill St",
            "address_purpose": "LOCATION",
            "city": "LA Crescent",
            "state": "MN",
            "postal_code": "559471389",
            "country_code": "US",
            "telephone_number": "507-895-4445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 5th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Spring Grove",
            "state": "MN",
            "postal_code": "559741318",
            "country_code": "US",
            "telephone_number": "507-498-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALISTRERI",
        "first_name": "AIMEE",
        "middle_name": "A",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9957",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "4754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Anne Bakken, S.W.
• Mary B Balder-Schroeder, APNP
• Leah Megan Baldwin, PA
• Dragos Victor Balf, MD
• Gabriela Balf, MD, MPH
• Izabel Balk
• Chase H Balzer
• P Michael Banasik, DDS
• Vijay Bandhakavi, MD
• Maseray M Bangura, SLP

• All providers in La Crosse, WI
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.