Individual provider Active NPI

Lynn Rekoske, MS CCC SLP

  • Speech-Language Pathologist
  • Germantown, WI
National Provider Identifier
1184890865
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
958-154 Issued in WI
Practice address
W153N10356 Rogers Dr
Germantown, WI 53022-5221
Phone
(262) 253-1211
NPI assigned
May 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2008

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 958-154 WI Primary

Addresses

Primary practice location

W153N10356 Rogers Dr
Germantown, WI 53022-5221

Mailing address

W153N10356 Rogers Dr
Germantown, WI 53022-5221
Phone (262) 253-1211

Other identifiers 1

IdentifierTypeStateIssuer
42648600MedicaidWI

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
958-154WIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1184890865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W153N10356 ROGERS DR",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530225221",
            "telephone_number": "262-253-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W153N10356 ROGERS DR",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530225221",
            "telephone_number": "262-253-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REKOSKE",
        "first_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "958-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42648600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.