Active NPI
Jonathan Donald Schmitz, MS CCC SLP
- Speech-Language Pathologist
- Menomonie, WI
National Provider Identifier
1245434323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2394 154
- Practice address
- 915 Elm Ave E
Menomonie, WI 54751-1613 - Phone
- (715) 233-2067
- Fax
- (715) 233-2068
- NPI assigned
- Jun 13, 2007
- Sex
- Male
- 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 | 2394 154 | WI | Primary |
Addresses
Primary practice location
915 Elm Ave E
Menomonie, WI 54751-1613
Mailing address
2311 Silvermine Dr
Eau Claire, WI 54703
Phone (715) 579-6154
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42575200 | 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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2394 154 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233014400000",
"number": "1245434323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 SILVERMINE DR",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "54703",
"telephone_number": "715-579-6154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 ELM AVE E",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "547511613",
"telephone_number": "715-233-2067",
"fax_number": "715-233-2068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMITZ",
"first_name": "JONATHAN",
"middle_name": "DONALD",
"credential": "MS CCC SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2009-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "2394 154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42575200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Menomonie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.