Jessica M Nevermann, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4282-154 Issued in WI

Practice address

N391 Lincoln Rd
Ixonia, WI 53036-9508

Phone

(262) 719-8620

NPI assigned

Jun 19, 2023

Last updated

Jun 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1326723289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N391 LINCOLN RD",
            "city": "IXONIA",
            "state": "WI",
            "postal_code": "530369508",
            "telephone_number": "262-719-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N391 LINCOLN RD",
            "city": "IXONIA",
            "state": "WI",
            "postal_code": "530369508",
            "telephone_number": "262-719-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVERMANN",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "4282-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duffy David Eberhardt
• Jennifer Michele Gates
• Kim M Jaeger, LCSW SAC
• Amy L Lauersdorf, LPN
• Kerry Wayne Lynch, PH.D.
• Alissa Olson, LCSW, CSAC
• Beth Marie Pape, N.P.
• Town of Ixonia (Town of Ixonia Fire & EMS)
• Watertown Regional Medical Center Inc (UWHP WRMC Ixonia Clinic)
• Jennifer Ann Weinreis

• Speech-Language Pathologist in Ixonia, WI
• Providers in Ixonia, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.