Organization Active NPI

Kidzspeech, LLC

  • Speech-Language Pathologist
  • Waukesha, WI
National Provider Identifier
1487066940
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1083-154 Issued in WI
Legal business name
KIDZSPEECH, LLC
Practice address
1909 Tree Line CT
Waukesha, WI 53188-2655
Phone
(414) 507-9181
NPI assigned
Jun 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Kirsten CerroniNPI 1023267135
Title
Owner
Phone
(414) 507-9181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 1083-154 WI Primary

Addresses

Primary practice location

1909 Tree Line CT
Waukesha, WI 53188-2655

Mailing address

W238N1690 Rockwood Dr
Suite 500
Waukesha, WI 53188-1151
Phone (414) 507-9181

Other identifiers 1

IdentifierTypeStateIssuer
1023267135OtherINDIVIDUAL NPI NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1487066940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W238N1690 ROCKWOOD DR",
            "address_2": "SUITE 500",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881151",
            "telephone_number": "414-507-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 TREE LINE CT",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882655",
            "telephone_number": "414-507-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZSPEECH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "CERRONI",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-507-9181"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "1083-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1023267135",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.