James Allen Wiebold III, SPEECH THERAPIST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1544 Issued in NE

Practice address

1760 County Road J
Wahoo, NE 68066-4152

Phone

(402) 443-4191

Fax

(402) 443-1445

NPI assigned

Apr 11, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jameson Wiebold Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1144663972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 COUNTY ROAD J",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680664152",
            "telephone_number": "402-443-4191",
            "fax_number": "402-443-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 COUNTY ROAD J",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680664152",
            "telephone_number": "402-443-4191",
            "fax_number": "402-443-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEBOLD",
        "first_name": "JAMES",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "SPEECH THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "1544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMESON",
            "last_name": "WIEBOLD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Speech-Language Pathologist in Wahoo, NE
• Providers in Wahoo, NE by specialty
• Speech-Language Pathologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.