Individual provider Active NPI

Taylor R Habermann, M.S.

  • Speech-Language Pathologist
  • Beaver Dam, WI
National Provider Identifier
1083353783
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14393537 Issued in WI
Practice address
400 E Burnett St
Beaver Dam, WI 53916-1902
Phone
(920) 885-7300
NPI assigned
Jun 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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 14393537 WI Primary

Addresses

Primary practice location

400 E Burnett St
Beaver Dam, WI 53916-1902

Mailing address

400 E Burnett St
Beaver Dam, WI 53916-1902
Phone (920) 885-7300

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
14393537WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Building Great Kids Therapy LLC CurrentSince Jul 10, 2022 Accepting new patients

Locations

N7169 E Plaza Dr
Beaver Dam, WI 53916

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1083353783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E BURNETT ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539161902",
            "telephone_number": "920-885-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E BURNETT ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539161902",
            "telephone_number": "920-885-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERMANN",
        "first_name": "TAYLOR",
        "middle_name": "R",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "14393537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Dam, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.