Individual provider Active NPI

Megan Wiemken

  • Speech-Language Pathologist
  • Archbold, OH
National Provider Identifier
1538561840
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
OH3201533 Issued in OH
Practice address
500 Lafayette St
Archbold, OH 43502-1669
Phone
(419) 446-2727
NPI assigned
Sep 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.11748 OH
Speech-Language Pathologist 235Z00000X OH3201533 OH Primary

Addresses

Primary practice location

500 Lafayette St
Archbold, OH 43502-1669

Mailing address

29573 Youngman Rd
Defiance, OH 43512-9165

Other practice location 1

10683 County Road O
Napoleon, OH 43545-6217
Phone (419) 966-2999

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

State licenses

LicenseStateTypeSpecialty
OH3201533OHMDSpeech-Language Pathologist
SP.11748OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1538561840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29573 YOUNGMAN RD",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435129165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LAFAYETTE ST",
            "city": "ARCHBOLD",
            "state": "OH",
            "postal_code": "435021669",
            "telephone_number": "419-446-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10683 County Road O",
            "address_purpose": "LOCATION",
            "city": "Napoleon",
            "state": "OH",
            "postal_code": "435456217",
            "country_code": "US",
            "telephone_number": "419-966-2999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEMKEN",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.11748",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "OH3201533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Archbold, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.