Mary Jo Veenendall, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4163-154 Issued in WI

Practice address

215 N 2ND St Ste 106
River Falls, WI 54022-3708

Phone

(715) 629-7479

NPI assigned

Jul 14, 2015

Last updated

Jul 14, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allina Health System

  dba River Falls Professional Services

  • Emergency Medicine Physician
  • River Falls, WI
  • NPI 1578507513
  Medicare reassignment NPD
• Allina Health System

  dba Allina Health Senior Health

  • Clinic/Center
  • Minneapolis, MN
  • NPI 1205069325
  NPD
• Allina Health System

  dba Allina Health TeleRheumatology

  • Rheumatology Physician
  • Coon Rapids, MN
  • NPI 1952146516
  NPD

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1083098578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N 2ND ST STE 106",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540223708",
            "telephone_number": "715-629-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N 2ND ST STE 106",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540223708",
            "telephone_number": "715-629-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEENENDALL",
        "first_name": "MARY JO",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "4163-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Wisconsin System Non Payroll (University of Wisconsin-River Falls Speech and Hearing Clinic)
• Anne Utyro
• Valley Anesthesia, LTD
• Joseph Vanderbosch, CP
• Jean Marie Vandermarliere, PTA
• Jeanna L Viramontes, PT
• Walgreen Co (Walgreens #10585)
• Mary M Walker
• Heidi Marie Webb, DC
• Thomas A. Weber, M.D.

• Speech-Language Pathologist in River Falls, WI
• Providers in River Falls, 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 Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.