Active NPI
Kaitlan E Koplien
- Speech-Language Pathologist
- Fitchburg, WI
National Provider Identifier
1194508424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6525-154
- Practice address
- 2927 S. Fitch Hatchery Road
Fitchburg, WI 53711 - Phone
- (608) 819-6394
- NPI assigned
- Aug 18, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 6525-154 | WI | Primary |
Addresses
Primary practice location
2927 S. Fitch Hatchery Road
Fitchburg, WI 53711
Mailing address
1244 Woodbridge TRL
Waunakee, WI 53597-2631
Phone (608) 516-9699
Other practice location 1
2995 Sub Zero Pkwy
Fitchburg, WI 53719-8801
Phone (608) 819-6394
Other practice location 2
2995 Sub Zero Pkwy
Fitchburg, WI 53719-8801
Phone (608) 819-6394
Other practice location 3
3707 N Kedzie Ave
Chicago, IL 60618-4503
Phone (773) 377-5492
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 |
|---|---|---|---|
| 6525-154 | WI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Communication Innovations, LLC | Past | Accepting new patients | |
| Communication Innovations, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Verona, WI
- NPI 1548969330
-
- Clinic/Center
- Fitchburg, WI
- NPI 1508033564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1194508424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1244 WOODBRIDGE TRL",
"city": "WAUNAKEE",
"state": "WI",
"postal_code": "535972631",
"telephone_number": "608-516-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2927 S. FITCH HATCHERY ROAD",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "53711",
"telephone_number": "608-819-6394"
}
],
"practiceLocations": [
{
"address_1": "2995 Sub Zero Pkwy",
"address_purpose": "LOCATION",
"city": "Fitchburg",
"state": "WI",
"postal_code": "537198801",
"country_code": "US",
"telephone_number": "608-819-6394",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2995 Sub Zero Pkwy",
"address_purpose": "LOCATION",
"city": "Fitchburg",
"state": "WI",
"postal_code": "537198801",
"country_code": "US",
"telephone_number": "608-819-6394",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3707 N Kedzie Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606184503",
"country_code": "US",
"telephone_number": "773-377-5492",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOPLIEN",
"first_name": "KAITLAN",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-18",
"last_updated": "2024-04-03",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "6525-154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fitchburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.