Individual provider Active NPI

Lucinda D. Weston, M.S. CCC

  • Speech-Language Pathologist
  • Shorewood, WI
National Provider Identifier
1043461049
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
615-154 Issued in WI
Practice address
3828 N Murray Ave
Shorewood, WI 53211-2555
Phone
(414) 332-3537
Fax
(414) 332-8096
NPI assigned
Oct 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 615-154 WI Primary

Addresses

Primary practice location

3828 N Murray Ave
Shorewood, WI 53211-2555

Mailing address

3828 N Murray Ave
Shorewood, WI 53211-2555
Phone (414) 332-3537

Other identifiers 1

IdentifierTypeStateIssuer
42681500MedicaidWI

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
615-154WIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1043461049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 N MURRAY AVE",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112555",
            "telephone_number": "414-332-3537",
            "fax_number": "414-332-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 N MURRAY AVE",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112555",
            "telephone_number": "414-332-3537",
            "fax_number": "414-332-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTON",
        "first_name": "LUCINDA",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "615-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42681500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shorewood, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.