Active NPI
Nancy Buckli, M.S., CCC-SLP
- Speech-Language Pathologist
- Chippewa Falls, WI
National Provider Identifier
1306988951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 978-154
- Practice address
- 923 Perry St
Chippewa Falls, WI 54729-1647 - Phone
- (715) 723-7110
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 978-154 | WI | Primary |
Addresses
Primary practice location
923 Perry St
Chippewa Falls, WI 54729-1647
Mailing address
923 Perry St
Chippewa Falls, WI 54729-1647
Phone (715) 723-7110
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01099085 | Other | WI | ASHA IDENTIFICATION |
| 42712900 | Medicaid | WI | |
| 978-154 | Other | WI | SPEECH LANGUAGE PATHOLOGY |
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 |
|---|---|---|---|
| 978-154 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1306988951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 PERRY ST",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547291647",
"telephone_number": "715-723-7110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 PERRY ST",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547291647",
"telephone_number": "715-723-7110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLI",
"first_name": "NANCY",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "978-154",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA IDENTIFICATION",
"identifier": "01099085",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42712900",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH LANGUAGE PATHOLOGY",
"identifier": "978-154",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chippewa Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.