Individual provider Active NPI

Autumn Schlichting

  • Speech-Language Pathologist
  • Bloomer, WI
National Provider Identifier
1184007403
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4128-154 Issued in WI
Practice address
1501 Thompson St
Bloomer, WI 54724-1257
Phone
(715) 838-5222
NPI assigned
Jul 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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 4128-154 WI Primary

Addresses

Primary practice location

1501 Thompson St
Bloomer, WI 54724-1257

Mailing address

PO Box 1510
Eau Claire, WI 54702-1510
Phone (715) 838-3635

Other practice location 1

110 Park Dr # 100
Colfax, WI 54730-8902
Phone (715) 962-4477

Other practice location 2

110 Park Dr # 100
Colfax, WI 54730
Phone (715) 962-4477

Other practice location 3

110 Park Dr # 100
Colfax, WI 54730
Phone (715) 962-4477

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Physical Therapy, Inc Speech-Language Pathologist CurrentSince Jan 4, 2016 Accepting new patients
Marshfield Clinic Inc CurrentSince Jun 18, 2018 Accepting new patients
MCHS Hospitals Inc CurrentSince Jun 18, 2018 Accepting new patients
MCHS Hospitals Inc CurrentSince Jun 18, 2018 Accepting new patients
Functions LLC Speech-Language Pathologist Past Accepting new patients

Locations

1731 17th Ave
Bloomer, WI 54724
Phone (715) 568-4669

1501 Thompson St
Bloomer, WI 54724
Phone (715) 568-2000

110 Park Dr
Ste 100
Colfax, WI 54730
Phone (715) 568-4669

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

Organizations & group practices 5

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": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1184007403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547021510",
            "telephone_number": "715-838-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 THOMPSON ST",
            "city": "BLOOMER",
            "state": "WI",
            "postal_code": "547241257",
            "telephone_number": "715-838-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Park Dr # 100",
            "address_purpose": "LOCATION",
            "city": "Colfax",
            "state": "WI",
            "postal_code": "547308902",
            "country_code": "US",
            "telephone_number": "715-962-4477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Park Dr # 100",
            "address_purpose": "LOCATION",
            "city": "Colfax",
            "state": "WI",
            "postal_code": "54730",
            "country_code": "US",
            "telephone_number": "715-962-4477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Park Dr # 100",
            "address_purpose": "LOCATION",
            "city": "Colfax",
            "state": "WI",
            "postal_code": "54730",
            "country_code": "US",
            "telephone_number": "715-962-4477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHLICHTING",
        "first_name": "AUTUMN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "4128-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomer, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.