Jeanine M Achtel
Individual provider Active NPI Speech-Language Pathologist · Kenosha, WI
NPI 1497324438 · NPPES record last updated Jun 23, 2021
Key facts
- NPI
- 1497324438
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 5219 88TH Ave
Kenosha, WI 53144-7468 - Phone
- (262) 287-0090
- NPI assigned
- Jun 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Support Services Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
5219 88TH Ave
Kenosha, WI 53144-7468
Mailing address
5219 88TH Ave
Kenosha, WI 53144-7468
Other providers in Kenosha, WI
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- Omar Abdelmegid
- Abdul G. Durrani MD SC
- Sheryn Abraham
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- Vanesa Acosta
- Actra Rehabilitation Associates Inc
- Julie Adam
- Camryn Chase Adams
- Claire Ann Adams
All providers in Kenosha, 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 Jun 23, 2021. 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.