Individual provider Active NPI

Richard J. Parolini

  • Speech-Language Pathologist
  • Wisconsin Rapids, WI
National Provider Identifier
1336328665
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
158154 Issued in WI
Practice address
3811 N Valley Dr
Wisconsin Rapids, WI 54494-8036
Phone
(715) 325-5680
Fax
(715) 325-5680
NPI assigned
Nov 2, 2007
Last updated
Nov 2, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 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 158154 WI Primary

Addresses

Primary practice location

3811 N Valley Dr
Wisconsin Rapids, WI 54494-8036

Mailing address

3811 N Valley Dr
Wisconsin Rapids, WI 54494-8036

Other identifiers 1

IdentifierTypeStateIssuer
42631500MedicaidWI

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
158154WIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1336328665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 N VALLEY DR",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544948036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 N VALLEY DR",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544948036",
            "telephone_number": "715-325-5680",
            "fax_number": "715-325-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAROLINI",
        "first_name": "RICHARD",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "158154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42631500",
            "state": "WI"
        }
    ],
    "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 Nov 2, 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.