Active NPI
Keri Wiseman, M.S., CCC-SLP/L
- Speech-Language Pathologist
- Waverly, NE
National Provider Identifier
1437401833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 824
- Practice address
- 14621 Heywood St
Waverly, NE 68462-1332 - Phone
- (402) 786-2348
- NPI assigned
- Oct 9, 2012
- Last updated
- Oct 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 824 | NE | Primary |
Addresses
Primary practice location
14621 Heywood St
Waverly, NE 68462-1332
Mailing address
24178 Sunset LN
Alvo, NE 68304-2150
Phone (402) 781-2349
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
| License | State | Type | Specialty |
|---|---|---|---|
| 824 | NE | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1437401833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24178 SUNSET LN",
"city": "ALVO",
"state": "NE",
"postal_code": "683042150",
"telephone_number": "402-781-2349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14621 HEYWOOD ST",
"city": "WAVERLY",
"state": "NE",
"postal_code": "684621332",
"telephone_number": "402-786-2348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISEMAN",
"first_name": "KERI",
"credential": "M.S., CCC-SLP/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-09",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waverly, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.