Active NPI
Kelsey Jansen Mary Krahn, SLP-CF
- Speech-Language Pathologist
- Wisconsin Rapids, WI
National Provider Identifier
1306681317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1175 Blue Iris CT
Wisconsin Rapids, WI 54494-4241 - Phone
- (715) 712-1299
- NPI assigned
- Jul 1, 2024
- 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 | Primary |
Addresses
Primary practice location
1175 Blue Iris CT
Wisconsin Rapids, WI 54494-4241
Mailing address
3535 Willow Dr Apt 16
Plover, WI 54467-3524
Phone (608) 606-0599
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1306681317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 WILLOW DR APT 16",
"city": "PLOVER",
"state": "WI",
"postal_code": "544673524",
"telephone_number": "608-606-0599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 BLUE IRIS CT",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544944241",
"telephone_number": "715-712-1299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAHN",
"first_name": "KELSEY",
"middle_name": "JANSEN MARY",
"credential": "SLP-CF",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-01",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wisconsin Rapids, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.