Kathleen Joann Redmond, MACCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

176-154 Issued in WI

Practice address

725 American Ave
Waukesha, WI 53188

Phone

(262) 928-2573

Fax

(262) 928-4943

NPI assigned

Nov 6, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1386713386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 N 49TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532082251",
            "telephone_number": "414-475-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 AMERICAN AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53188",
            "telephone_number": "262-928-2573",
            "fax_number": "262-928-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "KATHLEEN",
        "middle_name": "JOANN",
        "name_prefix": "Ms.",
        "credential": "MACCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "176-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42702500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP LICENSE",
            "identifier": "176-154",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CCC",
            "identifier": "00485508",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John William Rau, MS, LPC, CADC
• Darren James Rausch, EPIDEMIOLOGIST
• Mohammad Ali Raza, M.D.
• Recky Ventures LLC
• Michael William Reddy, D.C.
• Danielle Erin Reed, R. N.
• Jennifer Lynn Reed, MD
• Suanne Reed, MD
• Dawn A Reese, LCSW, MSW
• Denise K Reese, PHD

• Speech-Language Pathologist in Waukesha, WI
• Providers in Waukesha, 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 Jul 9, 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.