Jacquelyn M. Seidler, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5263 Issued in WI

Practice address

2730 N Roemer Rd
Appleton, WI 54911-8628

Phone

(920) 749-5859

NPI assigned

Jun 28, 2021

Last updated

Nov 17, 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Service Madison Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
  • NPI 1881806198
  NPD (past)
• Hhu Xtra Care Inc

  dba SSM Health at Home Infusion Pharmacy

  • Home Infusion Therapy Pharmacy
  • Madison, WI
  • NPI 1326337106
  NPD (past)

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1538739099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 N ROEMER RD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 N ROEMER RD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118628",
            "telephone_number": "920-749-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDLER",
        "first_name": "JACQUELYN",
        "middle_name": "M.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "5263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI DEPARTMENT OF SAFETY & PROFESSIONAL SERVICES",
            "identifier": "5263-154",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tereasa Seefeldt, MS LMFT
• Kimberly J Seeger Langlais, MD
• Elizabeth Catherine Seelow I, LPCIT
• Lucas Joseph Seelow, MS OTR
• Abra Seidler
• Damian David Selig
• John T Sellers, DO
• Kerrin Sendrowitz O'Connor, PHD
• F.Jeanne Sengstock, O.D.
• Pablo E Serna

• Speech-Language Pathologist in Appleton, WI
• Providers in Appleton, 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 Nov 17, 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.