Active NPI
Tammy Welter
- Speech-Language Pathologist
- Watertown, WI
National Provider Identifier
1255261343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1590025532
- Practice address
- 111 Dodge St
Watertown, WI 53094-4434 - Phone
- (920) 262-1460
- NPI assigned
- May 20, 2026
- Sex
- Unspecified or another gender identity
- 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 | 1590025532 | WI | Primary |
Addresses
Primary practice location
111 Dodge St
Watertown, WI 53094-4434
Mailing address
111 Dodge St
Watertown, WI 53094-4434
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1590025532 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1255261343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 DODGE ST",
"city": "WATERTOWN",
"state": "WI",
"postal_code": "530944434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 DODGE ST",
"city": "WATERTOWN",
"state": "WI",
"postal_code": "530944434",
"telephone_number": "920-262-1460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELTER",
"first_name": "TAMMY",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-05-20",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "1590025532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.