Amy Marie Imme

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1001476984 Issued in WI

Practice address

304 Kaphaem Rd
Tomahawk, WI 54487-7800

Phone

(715) 453-2141

NPI assigned

Jan 13, 2010

Last updated

Jul 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cooperative Educational Service Agency No. 9

  • Local Education Agency (LEA)
  • Tomahawk, WI
  • NPI 1609757012
  NPD (past)

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1235469289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230238 PINE HILLS DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544037243",
            "telephone_number": "501-920-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 KAPHAEM RD",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544877800",
            "telephone_number": "715-453-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMME",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "1001476984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Human Services Board Serving North Central Heatlh Care (North Central Health Care)
• Dean R Hussong, DDS
• Joshua Drew Ice, LAT
• Victor Ierulli, MD
• Robert David Imm, DDS
• Innate Life LLC (Innate Life)
• Jean Rene Jarvis, RN
• R Heidi Jarvis
• William Wayne Jones
• David D Kim, MD

• Speech-Language Pathologist in Tomahawk, WI
• Providers in Tomahawk, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.