Individual provider Active NPI

Dennette L. Scheckel, MHS, CCC/SLP/L

  • Speech-Language Pathologist
  • Bristol, WI
National Provider Identifier
1407048176
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146005608 Issued in IL
Practice address
11825 213TH Ave
Bristol, WI 53104-9682
Phone
(262) 690-1507
NPI assigned
Aug 15, 2007
Last updated
Jan 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146005608 IL Primary
Speech-Language Pathologist 235Z00000X 2737154 WI

Addresses

Primary practice location

11825 213TH Ave
Bristol, WI 53104-9682

Mailing address

11825 213TH Ave
Bristol, WI 53104-9682
Phone (262) 690-1507

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
146005608ILMDSpeech-Language Pathologist
2737154WIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1407048176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11825 213TH AVE",
            "city": "BRISTOL",
            "state": "WI",
            "postal_code": "531049682",
            "telephone_number": "262-690-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11825 213TH AVE",
            "city": "BRISTOL",
            "state": "WI",
            "postal_code": "531049682",
            "telephone_number": "262-690-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHECKEL",
        "first_name": "DENNETTE",
        "middle_name": "L.",
        "credential": "MHS, CCC/SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146005608",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2737154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.