Individual provider Active NPI

Jodi Lynn Sersch, MS, CCC-SLP

  • Speech-Language Pathologist
  • Cambridge, WI
National Provider Identifier
1184875551
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2771-154 Issued in WI
Practice address
403 Blue Jay Way
Cambridge, WI 53523-9547
Phone
(608) 423-4345
NPI assigned
Oct 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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 2771-154 WI Primary

Addresses

Primary practice location

403 Blue Jay Way
Cambridge, WI 53523-9547

Mailing address

4252 N Polaris Pkwy
Janesville, WI 53546-9327
Phone (608) 921-0936

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2771-154WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
School District of Cambridge Past Accepting new patients

Organizations & group practices 1

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": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1184875551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4252 N POLARIS PKWY",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535469327",
            "telephone_number": "608-921-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 BLUE JAY WAY",
            "city": "CAMBRIDGE",
            "state": "WI",
            "postal_code": "535239547",
            "telephone_number": "608-423-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERSCH",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2771-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.