NPIMap

Organization Active NPI

University of Wisconsin System Non Payroll

Doing business as University of WI - Speech, Language, and Hearing Clinic

  • Audiologist
  • Stevens Point, WI
National Provider Identifier
1003952805
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
Doing business as
University of WI - Speech, Language, and Hearing Clinic
Practice address
1901 4TH Ave
College of Professional Studies, Uw-Stevens Point
Stevens Point, WI 54481-1909
Phone
(715) 346-3667
Fax
(715) 346-2157
NPI assigned
Jan 29, 2007
Last updated
Nov 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Kay Juhnke
Title
Office Manager
Phone
(715) 346-3667

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

1901 4TH Ave
College of Professional Studies, Uw-Stevens Point
Stevens Point, WI 54481-1909

Mailing address

1901 4TH Ave
College of Professional Studies, Uw-Stevens Point
Stevens Point, WI 54481-1909
Phone (715) 346-3667

Other identifiers 1

IdentifierTypeStateIssuer
41172500MedicaidWI

Other names 1

  • University of WI - Speech, Language, and Hearing Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
University of Wisconsin25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

1901 4th Ave
Stevens Point, WI 54481
Phone (715) 346-3667

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1003952805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 4TH AVE",
            "address_2": "COLLEGE OF PROFESSIONAL STUDIES, UW-STEVENS POINT",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811909",
            "telephone_number": "715-346-3667",
            "fax_number": "715-346-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 4TH AVE",
            "address_2": "COLLEGE OF PROFESSIONAL STUDIES, UW-STEVENS POINT",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811909",
            "telephone_number": "715-346-3667",
            "fax_number": "715-346-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "JUHNKE",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "715-346-3667"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41172500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of WI - Speech, Language, and Hearing Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.