Sandra A Washer, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

343154 Issued in WI

Practice address

6263 North Greenbay Ave
Glendale, WI 53209

Phone

(414) 351-0543

NPI assigned

May 21, 2008

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paxxon Healthcare Services LLCGroup PAC ID 8325959554, 153 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Paxxon Healthcare Services LLC

  • Physical Therapist
  • Menomonee Falls, WI
  • NPI 1003174087

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Paxxon Healthcare Services LLC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1336808146
  NPD

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1265699730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W BERGEN CT",
            "city": "FOX POINT",
            "state": "WI",
            "postal_code": "532172304",
            "telephone_number": "414-351-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6263 NORTH GREENBAY AVE",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "53209",
            "telephone_number": "414-351-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHER",
        "first_name": "SANDRA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "343154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42688500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Nicholas Jeffrey Walkowiak, MS
• Walter T. Davison, M.D., P.a.
• Brenda Joyce Ward, MSW, APSW, SSW
• Mary D Washburne, MD
• Jennifer Washington
• George Alistair Wasielewski
• Watertower Pain Consultants, SC
• Sephora Abigail Wawa Egbuche
• Anne Zarb Weber, D.D.S.

• Speech-Language Pathologist in Glendale, WI
• Providers in Glendale, 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 Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.