Active NPI
Katie Vanasten
- Speech-Language Pathologist
- Green Bay, WI
National Provider Identifier
1114854601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12118081
- Practice address
- 2706 Lineville Rd
Green Bay, WI 54313-7151 - Phone
- (920) 662-7000
- NPI assigned
- May 7, 2026
- 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 | 12118081 | WI | Primary |
Addresses
Primary practice location
2706 Lineville Rd
Green Bay, WI 54313-7151
Mailing address
2706 Lineville Rd
Green Bay, WI 54313-7151
Phone (920) 662-7000
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 |
|---|---|---|---|
| 12118081 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1114854601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2706 LINEVILLE RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543137151",
"telephone_number": "920-662-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2706 LINEVILLE RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543137151",
"telephone_number": "920-662-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANASTEN",
"first_name": "KATIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-07",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "12118081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.