Active NPI
Janell Elizabeth Wismer, SLP
- Speech-Language Pathologist
- Tualatin, OR
National Provider Identifier
1033375415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 013102
- Practice address
- 19500 SW 90TH CT
Tualatin, OR 97062-7505 - Phone
- (503) 614-1336
- NPI assigned
- Aug 5, 2008
- Sex
- Female
- 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 | 013102 | OR | Primary |
Addresses
Primary practice location
19500 SW 90TH CT
Tualatin, OR 97062-7505
Mailing address
19500 SW 90TH CT
Tualatin, OR 97062-7505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013102 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1033375415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19500 SW 90TH CT",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970627505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19500 SW 90TH CT",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970627505",
"telephone_number": "503-614-1336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISMER",
"first_name": "JANELL",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-05",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "013102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.