Active NPI
Rebecca Jarzynski
- Speech-Language Pathologist
- Eau Claire, WI
National Provider Identifier
1205027752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2250-154
- Practice address
- 1414 Rowe St
Eau Claire, WI 54703-1661 - Phone
- (715) 579-0380
- Fax
- (715) 579-0380
- NPI assigned
- Aug 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2250-154 | WI | Primary |
Addresses
Primary practice location
1414 Rowe St
Eau Claire, WI 54703-1661
Mailing address
1414 Rowe St
Eau Claire, WI 54703-1661
Phone (715) 579-0380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42787900 | Medicaid | WI |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363651200000",
"number": "1205027752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 ROWE ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547031661",
"telephone_number": "715-579-0380",
"fax_number": "715-579-0380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 ROWE ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547031661",
"telephone_number": "715-579-0380",
"fax_number": "715-579-0380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARZYNSKI",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2013-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "2250-154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42787900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.