Individual provider Active NPI

Alyson Gail Wiedenbeck, CCC-SLP

  • Speech-Language Pathologist
  • Racine, WI
National Provider Identifier
1528997897
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2700 Yout St
Racine, WI 53404-2267
Phone
(262) 664-6000
NPI assigned
May 14, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X WI Primary

Addresses

Primary practice location

2700 Yout St
Racine, WI 53404-2267

Mailing address

6350 Norfolk LN
Mount Pleasant, WI 53406-1860
Phone (262) 930-6351

Other practice location 1

4225 S Lake Dr
St Francis, WI 53235-5941
Phone (414) 747-3600

Other practice location 2

3680 S Kinnickinnic Ave
St Francis, WI 53235-3742
Phone (414) 482-8400

Other practice location 3

2600 E Bolivar Ave
St Francis, WI 53235-5434
Phone (414) 486-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1528997897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 NORFOLK LN",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534061860",
            "telephone_number": "262-930-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 YOUT ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534042267",
            "telephone_number": "262-664-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4225 S Lake Dr",
            "address_purpose": "LOCATION",
            "city": "St Francis",
            "state": "WI",
            "postal_code": "532355941",
            "country_code": "US",
            "telephone_number": "414-747-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3680 S Kinnickinnic Ave",
            "address_purpose": "LOCATION",
            "city": "St Francis",
            "state": "WI",
            "postal_code": "532353742",
            "country_code": "US",
            "telephone_number": "414-482-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 E Bolivar Ave",
            "address_purpose": "LOCATION",
            "city": "St Francis",
            "state": "WI",
            "postal_code": "532355434",
            "country_code": "US",
            "telephone_number": "414-486-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEDENBECK",
        "first_name": "ALYSON",
        "middle_name": "GAIL",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.