Active NPI
Milagros Caceres
- Speech-Language Pathologist
- Mequon, WI
National Provider Identifier
1083779607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 681-154
- Practice address
- 12600 PT. Washington Rd
Newcastle Place
Mequon, WI 53092-3469 - Phone
- (262) 387-8800
- NPI assigned
- Dec 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 681-154 | WI | Primary |
Addresses
Primary practice location
12600 PT. Washington Rd
Newcastle Place
Mequon, WI 53092-3469
Mailing address
PO Box 170441
Milwaukee, WI 53217-8036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42582700 | Medicaid | WI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 681-154 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1083779607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 170441",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532178036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12600 PT. WASHINGTON RD",
"address_2": "NEWCASTLE PLACE",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923469",
"telephone_number": "262-387-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CACERES",
"first_name": "MILAGROS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "681-154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42582700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.