Active NPI
Lynn Rulien McKenzie, M.S.
- Speech-Language Pathologist
- Stoughton, WI
National Provider Identifier
1255571329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3202-154
- Practice address
- 814 Jackson Street
Stoughton, WI 53589 - Phone
- (608) 873-6448
- NPI assigned
- Mar 2, 2009
- Last updated
- Mar 2, 2009
- Sex
- Female
- 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 | 3202-154 | WI | Primary |
Addresses
Primary practice location
814 Jackson Street
Stoughton, WI 53589
Mailing address
10150 W. National Ave.
Suite 150
Milwaukee, WI 53227
Phone (414) 755-4968
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 |
|---|---|---|---|
| 3202-154 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235952000000",
"number": "1255571329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10150 W. NATIONAL AVE.",
"address_2": "SUITE 150",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53227",
"telephone_number": "414-755-4968",
"fax_number": "800-882-0886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 JACKSON STREET",
"city": "STOUGHTON",
"state": "WI",
"postal_code": "53589",
"telephone_number": "608-873-6448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENZIE",
"first_name": "LYNN",
"middle_name": "RULIEN",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-02",
"last_updated": "2009-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "3202-154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stoughton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.