Active NPI
Makenze Elizabeth Dix, CCC-SLP
- Speech-Language Pathologist
- Stevens Point, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14393479
- Practice address
- 900 Illinois Ave
Stevens Point, WI 54481-3114 - Phone
- (715) 346-5000
- NPI assigned
- Apr 8, 2021
- Last updated
- Nov 16, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | WI | ||
| Speech-Language Pathologist | 235Z00000X | 14393479 | WI | Primary |
Addresses
Primary practice location
900 Illinois Ave
Stevens Point, WI 54481-3114
Mailing address
900 Illinois Ave
Stevens Point, WI 54481-3114
Phone (715) 346-5000
Other names 1
- Makenze Wagner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14393479 | WI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
dba Marshfield Medical Center - Neillsville
- Critical Access Hospital
- Neillsville, WI
- NPI 1346239373
-
- General Practice Physician
- Stevens Point, WI
- NPI 1184082745
-
dba Aspirus Behavioral Health Clinic - Stevens Point - Prentice St
- Clinic/Center
- Stevens Point, WI
- NPI 1679706022
-
dba Marshfield Medical Center - Eau Claire Cancer Center
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
-
- General Acute Care Hospital
- Rhinelander, WI
- NPI 1356391247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1477133171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 ILLINOIS AVE",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544813114",
"telephone_number": "715-346-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 ILLINOIS AVE",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544813114",
"telephone_number": "715-346-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIX",
"first_name": "MAKENZE",
"middle_name": "ELIZABETH",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-08",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "14393479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAKENZE",
"last_name": "WAGNER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Stevens Point, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.