April J Wisutskie, M.S. CCC-SLP

Key facts

NPI

1295947562

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

SP178 (ME)

Practice address

36 Ledge Hill Rd
Raymond, ME 04071-6000

Phone

(207) 998-2171

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Science

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295947562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 LEDGE HILL RD",
            "city": "RAYMOND",
            "state": "ME",
            "postal_code": "040716000",
            "telephone_number": "207-998-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 LEDGE HILL RD",
            "city": "RAYMOND",
            "state": "ME",
            "postal_code": "040716000",
            "telephone_number": "207-998-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISUTSKIE",
        "first_name": "APRIL",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymond, ME

• Town of Raymond
• Ellen Hansen Van Haasteren, OTR/L
• Jessica Walton, MS OTR/L
• Marisa D Washburn
• Richard Harry Wilkins, D.O.
• Erinn Wright, MD

All providers in Raymond, ME · Speech-Language Pathologist in Maine