Individual provider Active NPI

Amanda Rae Houdek, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Fitchburg, WI
National Provider Identifier
1144377367
Registry record updated Dec 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2559 Issued in WI
Practice address
2995 Sub Zero Pkwy
Fitchburg, WI 53719-8801
Phone
(608) 772-2161
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2559 WI Primary

Addresses

Primary practice location

2995 Sub Zero Pkwy
Fitchburg, WI 53719-8801

Mailing address

5885 Persimmon Dr
Fitchburg, WI 53711-5007
Phone (608) 772-2161

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Communication Innovations, Inc CurrentSince Mar 5, 2023 Accepting new patients
Communication Innovations, LLC CurrentSince Dec 8, 2024 Accepting new patients

Locations

2927 S Fish Hatchery Rd
Fitchburg, WI 53711
Phone (608) 816-6394

2995 Sub Zero Pkwy
Fitchburg, WI 53719
Phone (608) 556-2433

701 Deming Way
Ste 110
Madison, WI 53717
Phone (608) 819-6894

6602 University Ave
Ste 2
Middleton, WI 53562

395 E Linnerud Dr
Sun Prairie, WI 53590

807 Liberty Dr
Ste 106
Verona, WI 53593

305 S Main St
Verona, WI 53593

1102 Stephenson Ln
#100
Waunakee, WI 53597
Phone (608) 960-8512

2600 Stewart Ave
Ste 154
Wausau, WI 54401
Phone (715) 848-4088

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1144377367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 PERSIMMON DR",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115007",
            "telephone_number": "608-772-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 SUB ZERO PKWY",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537198801",
            "telephone_number": "608-772-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUDEK",
        "first_name": "AMANDA",
        "middle_name": "RAE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; 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.