Active NPI
Sierra Wiebensohn
- Speech-Language Pathologist
- Marshalltown, IA
National Provider Identifier
1033932264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 123693
- Practice address
- 55 Unitypoint Way Ste 70
Marshalltown, IA 50158-4749 - Phone
- (641) 754-6120
- NPI assigned
- Nov 6, 2024
- 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 | 123693 | IA | Primary |
Addresses
Primary practice location
55 Unitypoint Way Ste 70
Marshalltown, IA 50158-4749
Mailing address
1444 Highway T55
Gladbrook, IA 50635-9447
Phone (563) 880-5991
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123693 | IA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1033932264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1444 HIGHWAY T55",
"city": "GLADBROOK",
"state": "IA",
"postal_code": "506359447",
"telephone_number": "563-880-5991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 UNITYPOINT WAY STE 70",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501584749",
"telephone_number": "641-754-6120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEBENSOHN",
"first_name": "SIERRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-06",
"last_updated": "2024-11-06",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "123693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshalltown, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.