Linda Vande Zande, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2186-154 Issued in WI

Practice address

244 N Macy St
Fond Du Lac, WI 54935-3362

Phone

(920) 926-0050

NPI assigned

May 14, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1063689453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N8250 SUNSET DR",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549359517",
            "telephone_number": "920-921-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 N MACY ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353362",
            "telephone_number": "920-926-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDE ZANDE",
        "first_name": "LINDA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2186-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42574900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Frances Van Engen, M.S. CCC- SLP
• Laura B Van Why, MD
• Donald F Vanbeek, M.D.
• James G Vanbommel, CRNA
• Deborah Ann Vande Zande, APNP
• Sharon L Vander Ark, PT
• Michael J Vander Kooy, M.D.
• Kelly Vanderloop
• Rebecca Vanderloop
• Krissy K Vang, REGISTERED NURSE

• Speech-Language Pathologist in Fond Du Lac, WI
• Providers in Fond Du Lac, 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 May 14, 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.