Mandi Sue Welter, ST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

100934 Issued in IA

Practice address

1915 Philadelphia St
Ames, IA 50010-8768

Phone

(515) 232-7220

Fax

(515) 727-8757

NPI assigned

Apr 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mandi Sue Miles Former name

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 and National Provider Directory roles.

• Childserve Therapy, Inc.

  • Physical Therapist
  • Johnston, IA
  • NPI 1679614754

  Speech-Language Pathologist

  NPD (past)
• The Childserve Clinic Inc

  dba ChildServe Clinics

  • Pediatrics Physician
  • Johnston, IA
  • NPI 1033449145
  NPD (past)

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1245813039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 PHILADELPHIA ST",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108768",
            "telephone_number": "319-480-9915",
            "fax_number": "515-727-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 PHILADELPHIA ST",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108768",
            "telephone_number": "515-232-7220",
            "fax_number": "515-727-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELTER",
        "first_name": "MANDI",
        "middle_name": "SUE",
        "credential": "ST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "100934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDI",
            "last_name": "MILES",
            "middle_name": "SUE",
            "credential": "ST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Weber
• Myah Elizabeth Lee Weber
• Timothy David Weesner, ATC, LAT
• Meifen Wei, PH.D.
• Amanda Grace Welch, PHARMD
• Thomas M Wernimont, MD
• Jamie A. Weydert, M.D.
• Kathryn Wheeler, MS
• Kylie Linn Wheeler
• Barb J Wheelock, PT

• Speech-Language Pathologist in Ames, IA
• Providers in Ames, IA by specialty
• Speech-Language Pathologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.