Individual provider Active NPI

Jozette Lorraine Weber, SLP

  • Speech-Language Pathologist
  • Eau Claire, WI
National Provider Identifier
1144774746
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4284-154 Issued in WI
Practice address
3656 Mall Dr
Eau Claire, WI 54701-7634
Phone
(715) 858-2100
Fax
(715) 552-4567
NPI assigned
Aug 11, 2016
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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 4284-154 WI Primary

Addresses

Primary practice location

3656 Mall Dr
Eau Claire, WI 54701-7634

Mailing address

3656 Mall Dr
Eau Claire, WI 54701-7634
Phone (715) 858-2100

Other names 1

  • Jozette Lorraine Kitzrow Other name

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
4284-154WIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1144774746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3656 MALL DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017634",
            "telephone_number": "715-858-2100",
            "fax_number": "715-552-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3656 MALL DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017634",
            "telephone_number": "715-858-2100",
            "fax_number": "715-552-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JOZETTE",
        "middle_name": "LORRAINE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "4284-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOZETTE",
            "last_name": "KITZROW",
            "middle_name": "LORRAINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.