Individual provider Active NPI

Yalanda Hofmaier, SLP

  • Speech-Language Pathologist
  • Racine, WI
National Provider Identifier
1235440389
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3386154 Issued in WI
Practice address
1100 Commerce Dr
Suite 114
Racine, WI 53406-3700
Phone
(262) 886-3431
Fax
(262) 886-3954
NPI assigned
Jun 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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 3386154 WI Primary

Addresses

Primary practice location

1100 Commerce Dr
Suite 114
Racine, WI 53406-3700

Mailing address

1100 Commerce Dr
Suite 114
Racine, WI 53406-3700
Phone (262) 886-3431

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

LicenseStateTypeSpecialty
3386154WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Support Services Inc 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": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1235440389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 COMMERCE DR",
            "address_2": "SUITE 114",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534063700",
            "telephone_number": "262-886-3431",
            "fax_number": "262-886-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 COMMERCE DR",
            "address_2": "SUITE 114",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534063700",
            "telephone_number": "262-886-3431",
            "fax_number": "262-886-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFMAIER",
        "first_name": "YALANDA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3386154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.