Kristine Goebel, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1615154 Issued in WI

Practice address

500 Interchange N
Lake Geneva, WI 53147-8922

Phone

(262) 249-5860

Fax

(262) 249-5870

NPI assigned

May 4, 2007

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)

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 and National Provider Directory roles.

• Visiting Nurse Association of Wisconsin, Inc.

  dba Aurora at Home

  • Home Health Agency
  • West Allis, WI
  • NPI 1134255037
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588876320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W241S10155 MEADOW CIR",
            "city": "BIG BEND",
            "state": "WI",
            "postal_code": "531039569",
            "telephone_number": "262-662-3354",
            "fax_number": "262-662-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 INTERCHANGE N",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531478922",
            "telephone_number": "262-249-5860",
            "fax_number": "262-249-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEBEL",
        "first_name": "KRISTINE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "1615154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42761100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brady John Gerber, DMD
• Greg James Gerber, MD
• Daniel Gerblick II
• Matthew J Geyso, PTA
• Inger L Gibson, OD
• Golden Years Nursing Home, Inc.
• Staci L. Gomez, OTR/CHT
• Rashmin Ramji Gopani
• John P Gorenc, MSW
• Marc F Gorski, PHARMD

• Speech-Language Pathologist in Lake Geneva, WI
• Providers in Lake Geneva, 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 Jul 8, 2007; 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.