Carol A Wichern

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

MO TEACH CERT Issued in MO

Practice address

326 College St
Perryville, MO 63775-2624

Phone

(573) 547-7500

NPI assigned

Mar 11, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Perry County School Dist 32

  • Local Education Agency (LEA)
  • Perryville, MO
  • NPI 1235294190
  NPD (past)

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1114197688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 COLLEGE ST",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637752624",
            "telephone_number": "573-547-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 COLLEGE ST",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637752624",
            "telephone_number": "573-547-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICHERN",
        "first_name": "CAROL",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "MO TEACH CERT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody James Van de Ven, DPT
• Wal-Mart Stores East LP
• Walgreen Co
• Dawn Shelley Wann, LPC
• Stacy Renee Wengert, LPC
• Gary R Williams, CRNA
• Emma Nichole Winkler
• Nicola Wissler, LCSW
• Amanda Wozniak, PHARMD
• Angela Kay Wright, APRN, FNP-BC

• Speech-Language Pathologist in Perryville, MO
• Providers in Perryville, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.