Individual provider Active NPI

Sara Renee Wohlgemuth, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Saint Charles, IL
National Provider Identifier
1447527700
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
106 Kensington PL
Apt/Suite
Saint Charles, IL 60175-5164
Phone
(630) 549-7160
NPI assigned
Nov 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

106 Kensington PL
Apt/Suite
Saint Charles, IL 60175-5164

Mailing address

106 Kensington PL
Apt/Suite
Saint Charles, IL 60175-5164
Phone (630) 549-7160

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)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1447527700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 KENSINGTON PL",
            "address_2": "APT/SUITE",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601755164",
            "telephone_number": "630-549-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 KENSINGTON PL",
            "address_2": "APT/SUITE",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601755164",
            "telephone_number": "630-549-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLGEMUTH",
        "first_name": "SARA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.