Madison Marie Wiebers, ST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

886 Issued in SD

Practice address

8011 S Cinnamon Ridge PL
Sioux Falls, SD 57108-6466

Phone

(605) 271-1852

NPI assigned

Jun 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Anderson-Smith Speech Therapy, LLC

  • Speech-Language Pathologist
  • Sioux Falls, SD
  • NPI 1407263767
  NPD

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1164048039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 S CINNAMON RIDGE PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571086466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 S CINNAMON RIDGE PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571086466",
            "telephone_number": "605-271-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEBERS",
        "first_name": "MADISON",
        "middle_name": "MARIE",
        "credential": "ST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SD",
            "license": "886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Kelsey Whittle, CRNA
• James H Wick, EDD
• Andrea Wickersham, NP
• Susan Wicks, CSW-PIP
• Kelly Wiebenga, RDN
• Kyle Wiebesiek, ATC
• Jerome Donald Wiederrich, RPH
• Katie Wiederrich
• Michelle Lynn Wiegand
• Kim Emrin Wieking, PT

• All providers in Sioux Falls, SD
• Speech-Language Pathologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.