Stephanie Shredl, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3723-154 Issued in WI

Practice address

8055 Lexington PL Apt 6
Pleasant Prairie, WI 53158-2513

Phone

(262) 989-2268

NPI assigned

Aug 24, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1053866657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 LEXINGTON PL APT 6",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531582513",
            "telephone_number": "262-989-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 LEXINGTON PL APT 6",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531582513",
            "telephone_number": "262-989-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREDL",
        "first_name": "STEPHANIE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3723-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiryl N Shada, PSYD
• Nandini Shah, MD
• Soniya G Shah, DO
• Jenna Sherman, OTR/L
• Elizabeth J. Shimeall, PA-C
• Scott C Simmons, MD
• Kanha Sinha
• Andrew David Sirois, PA-C
• Sleep Health Wisconsin LLC
• Sarah M Slivon-Vanchena, APNP

• Speech-Language Pathologist in Pleasant Prairie, WI
• Providers in Pleasant Prairie, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.