Amanda Yadro

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4050-154 Issued in WI

Practice address

200 Enterprise Dr
Verona, WI 53593-9124

Phone

(608) 556-6120

NPI assigned

Oct 3, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Kero Former name

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": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1396294260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 SABERTOOTH TRL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537194064",
            "telephone_number": "773-860-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ENTERPRISE DR",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535939124",
            "telephone_number": "608-556-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADRO",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "4050-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "KERO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark William Wirtz
• Mary K Witte
• Megan Elizabeth Wood
• Peter J Worman, D.D.S.
• Kara Wynkoop Hirz, MSN, RN
• Kevin Joseph Zacharias, LPTA
• Jessica Afrose Zaman, MD
• Taylor Zibell, RN
• Kelly Ziccarelli, MS, BCBA
• Hugh Charles Zuengler, RPH

• Speech-Language Pathologist in Verona, WI
• Providers in Verona, 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 Oct 3, 2016; 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.