Bridgette Francis
Individual provider Active NPI Speech-Language Pathologist · Mayville, WI
NPI 1457079816 · NPPES record last updated Aug 19, 2022
Key facts
- NPI
- 1457079816
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 6059-154 (WI)
- Practice address
- 305 S Clark St
Mayville, WI 53050-1488 - Phone
- (920) 387-0354
- NPI assigned
- Aug 19, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6059-154 | WI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6059-154 | WI | Yes |
Addresses
Primary practice location
305 S Clark St
Mayville, WI 53050-1488
Mailing address
605 S Point Rd Apt 301
Verona, WI 53593-8209
NPI Registry JSON
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1457079816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 S POINT RD APT 301",
"city": "VERONA",
"state": "WI",
"postal_code": "535938209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 S CLARK ST",
"city": "MAYVILLE",
"state": "WI",
"postal_code": "530501488",
"telephone_number": "920-387-0354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANCIS",
"first_name": "BRIDGETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-19",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "6059-154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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All providers in Mayville, WI · Speech-Language Pathologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.