Individual provider Active NPI

Tiffany Marie Huizenga, SLP

  • Speech-Language Pathologist
  • Chetek, WI
National Provider Identifier
1134295306
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12089004 Issued in WI
Practice address
1001 Knapp St
Chetek, WI 54728-9107
Phone
(715) 924-2226
Fax
(715) 924-2376
NPI assigned
Nov 28, 2006
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12089004 WI Primary
Speech-Language Pathologist 235Z00000X C3990 NM

Addresses

Primary practice location

1001 Knapp St
Chetek, WI 54728-9107

Mailing address

1001 Knapp St
Chetek, WI 54728-9107
Phone (715) 924-2226

Other identifiers 1

IdentifierTypeStateIssuer
39008371MedicaidNM

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

LicenseStateTypeSpecialty
C3990NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Portales Municipal Schools Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1134295306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 KNAPP ST",
            "city": "CHETEK",
            "state": "WI",
            "postal_code": "547289107",
            "telephone_number": "715-924-2226",
            "fax_number": "715-924-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 KNAPP ST",
            "city": "CHETEK",
            "state": "WI",
            "postal_code": "547289107",
            "telephone_number": "715-924-2226",
            "fax_number": "715-924-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUIZENGA",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "12089004",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "C3990",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39008371",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chetek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.