Jacqueline Jan Thingvold, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1091-154 Issued in WI

Practice address

E7404A County BB
Viroqua, WI 54665-1139

Phone

(608) 637-5400

NPI assigned

May 15, 2008

Last updated

May 15, 2008By the provider in NPPES

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 identifiers 1

Other names 1

• Miss Jacqueline Jan Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gundersen Lutheran Express Care, Inc

  • Clinic/Center
  • La Crosse, WI
  • NPI 1043446974
  NPD (past)

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1447427687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3149 26TH ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546017654",
            "telephone_number": "608-787-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E7404A COUNTY BB",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546651139",
            "telephone_number": "608-637-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THINGVOLD",
        "first_name": "JACQUELINE",
        "middle_name": "JAN",
        "name_prefix": "Mrs.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "1091-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN SPEECH PATHOLOGIST LICENSE",
            "identifier": "1091-154",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "WILLIAMS",
            "middle_name": "JAN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Ann Sutton-Anderson, PT
• Erin R Swiggum, NP
• Oliver Taylor
• Shannon Thiesenhusen, PHARMD
• Jennelle Thimmesch, LMT
• Michelle L Thomas, MFT-TL
• Kelsey R Thompson, QTT
• Tena M. Thompson, D.C.
• Benjamin Michael Thornton, DPT
• Michael E Thorstenson, MD

• Speech-Language Pathologist in Viroqua, WI
• Providers in Viroqua, 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 May 15, 2008; 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.