Sue Merry Landerman, MS, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2042-154 Issued in WI

Practice address

5778 Chapin St
Florence, WI 54121-9443

Phone

(715) 528-4988

NPI assigned

Oct 9, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Sue Merry Begeman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1295060176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17923 ROCK DAM RD",
            "city": "ALVIN",
            "state": "WI",
            "postal_code": "545429345",
            "telephone_number": "725-545-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5778 CHAPIN ST",
            "city": "FLORENCE",
            "state": "WI",
            "postal_code": "541219443",
            "telephone_number": "715-528-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDERMAN",
        "first_name": "SUE",
        "middle_name": "MERRY",
        "credential": "MS, CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2042-154",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 9812",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42-704-800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "BEGEMAN",
            "middle_name": "MERRY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chelsey Holsworth, SLP
• Robin Renee Hurst
• Brian Kass, PT, DPT, OCS
• Taylor Komis, OTR
• Laurie Lafleur, MSCCCA MACCCSLP
• Robbyn Kristine Larson
• Megs Pharmacy Inc
• Newcap, Inc.
• NHH Visiongroup, S.C.
• NSH Florence LLC

• All providers in Florence, WI
• Speech-Language Pathologist in Wisconsin

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

Verify at the official NPI Registry.