Individual provider Active NPI

Patricia Mary Jaglowski, MS SPEECH PATHOLOGY

  • Speech-Language Pathologist
  • Burlington, WI
National Provider Identifier
1366678765
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
J242 Issued in WI
Practice address
N6281 Hillcrest Ter
Burlington, WI 53105-2832
Phone
(262) 902-1422
Fax
(262) 763-3006
NPI assigned
May 31, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 J242 WI Primary

Addresses

Primary practice location

N6281 Hillcrest Ter
Burlington, WI 53105-2832

Mailing address

N6281 Hillcrest Ter
Burlington, WI 53105-2832
Phone (262) 902-1422

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
J242WIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1243728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366678765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N6281 HILLCREST TER",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531052832",
            "telephone_number": "262-902-1422",
            "fax_number": "262-763-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N6281 HILLCREST TER",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531052832",
            "telephone_number": "262-902-1422",
            "fax_number": "262-763-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGLOWSKI",
        "first_name": "PATRICIA",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "MS SPEECH PATHOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "J242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.