Caleb Jon Wiegmann

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2096 Issued in NE

Practice address

502 Wakefield St
Laurel, NE 68745-1743

Phone

(402) 256-3133

NPI assigned

Aug 2, 2018

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Laurel-Concord-Coleridge School District 54

  • Local Education Agency (LEA)
  • Laurel, NE
  • NPI 1730830670
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 2, 2018.

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1003394966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SYCAMORE AVE APT 203",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693353",
            "telephone_number": "319-230-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 WAKEFIELD ST",
            "city": "LAUREL",
            "state": "NE",
            "postal_code": "687451743",
            "telephone_number": "402-256-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEGMANN",
        "first_name": "CALEB",
        "middle_name": "JON",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "2096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Promes
• Samuel J. Recob, M.D.
• Heather Schrieber
• Marjorie A Thompson, ADM. LPN. ADM. S.SER
• Sara Ann Trease
• Jenny Young, RN

• All providers in Laurel, NE
• Speech-Language Pathologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.