Active NPI
Elisa Schoeberle, SLP
- Speech-Language Pathologist
- Mount Horeb, WI
National Provider Identifier
1154770394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4286 - 154
- Practice address
- 407 N. 8TH St.
Mount Horeb, WI 53572 - Phone
- (608) 437-5511
- NPI assigned
- Jun 8, 2016
- 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 | 4286 - 154 | WI | Primary |
Addresses
Primary practice location
407 N. 8TH St.
Mount Horeb, WI 53572
Mailing address
407 N. 8TH St.
Mount Horeb, WI 53572
Phone (608) 437-5511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100057347 | Medicaid | WI |
Other names 1
- Elisa Kersten
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 |
|---|---|---|---|
| 4286 - 154 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512000000000",
"number": "1154770394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 N. 8TH ST.",
"city": "MOUNT HOREB",
"state": "WI",
"postal_code": "53572",
"telephone_number": "608-437-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 N. 8TH ST.",
"city": "MOUNT HOREB",
"state": "WI",
"postal_code": "53572",
"telephone_number": "608-437-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOEBERLE",
"first_name": "ELISA",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-08",
"last_updated": "2017-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "4286 - 154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100057347",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELISA",
"last_name": "KERSTEN",
"credential": "SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mount Horeb, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.