McKenna Marie Augustine

Individual provider Active NPI Speech-Language Pathologist · Sheboygan, WI

NPI 1043129182 · NPPES record last updated Sep 3, 2026

Key facts

NPI
1043129182
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
7413154 (WI)
Practice address
3620 Wilgus Ave
Sheboygan, WI 53081-3068
Phone
(920) 208-9648
NPI assigned
Sep 3, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7413154 WI Yes

Addresses

Primary practice location

3620 Wilgus Ave
Sheboygan, WI 53081-3068

Mailing address

12489 Cedar Lake Rd
Kiel, WI 53042-4004
Phone (920) 286-3222

Other providers in Sheboygan, WI

All providers in Sheboygan, WI · Speech-Language Pathologist in Wisconsin

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.