Individual provider Active NPI

Maryjeanne Lamb Schaffmeyer

  • Speech-Language Pathologist
  • Washington Island, WI
National Provider Identifier
1316439938
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
729 Issued in WI
Practice address
1769 Town Line Rd
Washington Island, WI 54246-9110
Phone
(920) 716-2484
NPI assigned
May 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 729 WI Primary

Addresses

Primary practice location

1769 Town Line Rd
Washington Island, WI 54246-9110

Mailing address

1769 Town Line Rd
Washington Island, WI 54246-9110
Phone (920) 716-2484

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

State licenses

LicenseStateTypeSpecialty
729WIMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1316439938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 TOWN LINE RD",
            "city": "WASHINGTON ISLAND",
            "state": "WI",
            "postal_code": "542469110",
            "telephone_number": "920-716-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 TOWN LINE RD",
            "city": "WASHINGTON ISLAND",
            "state": "WI",
            "postal_code": "542469110",
            "telephone_number": "920-716-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFMEYER",
        "first_name": "MARYJEANNE",
        "middle_name": "LAMB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Island, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.