Kaitlyn Rose Sprangers, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5112-154 Issued in WI

Practice address

1475 Birch Hill LN
Shawano, WI 54166-3707

Phone

(715) 526-3161

NPI assigned

Oct 5, 2020

Last updated

Sep 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kaitlyn Rose Kreuser Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1528665387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 BIRCH HILL LN",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663707",
            "telephone_number": "715-526-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 BIRCH HILL LN",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663707",
            "telephone_number": "715-526-3161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Centennial Centre Blvd",
            "address_purpose": "LOCATION",
            "city": "Hobart",
            "state": "WI",
            "postal_code": "541558989",
            "country_code": "US",
            "telephone_number": "920-544-5041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRANGERS",
        "first_name": "KAITLYN",
        "middle_name": "ROSE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "5112-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "KREUSER",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristina Therese Sipple, D.C.
• Jennifer May Skibba, D.C.
• Nicole Ann Smith-Angwenyi, MSW
• Justine Judy Smith, RPH
• Sarah Christine Smith
• St Vincent Hospital-Hospital Sisters-Third Order of St Francis (St. Vincent Hospital - Libertas of Shawano)
• St Vincent Hospital-Hospital Sisters-Third Order of St Francis (Prevea Health ENT)
• St Vincent Hospital-Hospital Sisters-Third Order of St. Francis (Prevea Health)
• Morgan Steffens, PHARMD
• Paige Steinbrecher, MS CF-SLP

• Speech-Language Pathologist in Shawano, WI
• Providers in Shawano, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.