Active NPI
Mari Anne Squires
- Speech-Language Pathologist
- Union Grove, WI
National Provider Identifier
1023928470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1590042375
- Practice address
- 1745 Milldrum St
Union Grove, WI 53182-1763 - Phone
- (262) 878-2015
- NPI assigned
- Sep 9, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1590042375 | WI | Primary |
Addresses
Primary practice location
1745 Milldrum St
Union Grove, WI 53182-1763
Mailing address
1745 Milldrum St
Union Grove, WI 53182-1763
Phone (262) 878-2015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1023928470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1745 MILLDRUM ST",
"city": "UNION GROVE",
"state": "WI",
"postal_code": "531821763",
"telephone_number": "262-878-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1745 MILLDRUM ST",
"city": "UNION GROVE",
"state": "WI",
"postal_code": "531821763",
"telephone_number": "262-878-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SQUIRES",
"first_name": "MARI",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "1590042375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union Grove, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.