Individual provider Active NPI

Karla Renae Retrum, MS, CCC-SLP

  • Speech-Language Pathologist
  • Wausau, WI
National Provider Identifier
1376930560
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
4510 Forest Valley Rd
Wausau, WI 54403-1104
Phone
(715) 802-0474
NPI assigned
Apr 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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 WI Primary

Addresses

Primary practice location

4510 Forest Valley Rd
Wausau, WI 54403-1104

Mailing address

4510 Forest Valley Rd
Wausau, WI 54403-1104
Phone (715) 551-9281

Other practice location 1

3200 Westhill Dr Ste 100
Wausau, WI 54401-4706
Phone (715) 843-1058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160316002111 WI Practitioner - Qualified Speech Language Pathologist 5092011015 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4116WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Wausau Hospital, Inc. CurrentSince Nov 9, 2021 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Nov 9, 2021 Accepting new patients
Central Wisconsin Speech Therapy, LLC Speech-Language Pathologist CurrentSince Sep 17, 2023 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

1821 N 4th Ave
Wausau, WI 54401
Phone (715) 675-9451

3200 Westhill Dr
Ste 100
Wausau, WI 54401
Phone (715) 843-1058

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

Organizations & group practices 5

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": "1429920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1376930560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 FOREST VALLEY RD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544031104",
            "telephone_number": "715-551-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 FOREST VALLEY RD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544031104",
            "telephone_number": "715-802-0474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Westhill Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544014706",
            "country_code": "US",
            "telephone_number": "715-843-1058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RETRUM",
        "first_name": "KARLA",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-25",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.