Active NPI
Byron J Krause, MHA MSCCCSLP
- Speech-Language Pathologist
- Oshkosh, WI
National Provider Identifier
1093864993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1636154
- Practice address
- 725 Butler Ave
Oshkosh, WI 54985 - Phone
- (920) 235-5100
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- 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 | 1636154 | WI | Primary |
Addresses
Primary practice location
725 Butler Ave
Oshkosh, WI 54985
Mailing address
725 Butler Avenue
Park View Pleasant Acres Attn Speech Therapy
Winnebago, WI 54985
Phone (920) 235-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42790400 | 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 |
|---|---|---|---|
| 1636154 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093864993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 BUTLER AVENUE",
"address_2": "PARK VIEW PLEASANT ACRES ATTN SPEECH THERAPY",
"city": "WINNEBAGO",
"state": "WI",
"postal_code": "54985",
"telephone_number": "920-235-5100",
"fax_number": "920-233-7352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 BUTLER AVE",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "54985",
"telephone_number": "920-235-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUSE",
"first_name": "BYRON",
"middle_name": "J",
"credential": "MHA MSCCCSLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "1636154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42790400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.