Individual provider Active NPI

Linda Ann Quam, MS CCC SLP

  • Speech-Language Pathologist
  • River Falls, WI
National Provider Identifier
1326243304
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
987154 Issued in WI
Practice address
410 S Third St
Speech & Hearing Clinic VW River Falls
River Falls, WI 54022
Phone
(715) 425-3801
Fax
(715) 425-3800
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 987154 WI Primary

Addresses

Primary practice location

410 S Third St
Speech & Hearing Clinic VW River Falls
River Falls, WI 54022

Mailing address

410 S Third St
Speech & Hearing Clinic VW River Falls
River Falls, WI 54022
Phone (715) 425-3801

Other identifiers 1

IdentifierTypeStateIssuer
16G94G1OtherMNBCBS

Other names 1

  • Mrs. Linda Ann Giebel Former name

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

LicenseStateTypeSpecialty
987154WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin System Non Payroll Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326243304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S THIRD ST",
            "address_2": "SPEECH & HEARING CLINIC VW RIVER FALLS",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "54022",
            "telephone_number": "715-425-3801",
            "fax_number": "715-425-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S THIRD ST",
            "address_2": "SPEECH & HEARING CLINIC VW RIVER FALLS",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "54022",
            "telephone_number": "715-425-3801",
            "fax_number": "715-425-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAM",
        "first_name": "LINDA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "987154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "16G94G1",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "GIEBEL",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "MS CCC SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in River Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.