Individual provider Active NPI

Lea Ann Worachek

  • Speech-Language Pathologist
  • Sauk City, WI
National Provider Identifier
1609057595
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2091 Issued in WI
Practice address
880 Independence LN
Sauk City, WI 53583-1381
Phone
(608) 643-2343
NPI assigned
Nov 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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 2091 WI Primary

Addresses

Primary practice location

880 Independence LN
Sauk City, WI 53583-1381

Mailing address

880 Independence LN
Sauk City, WI 53583-1381
Phone (608) 643-2343

Other identifiers 1

IdentifierTypeStateIssuer
42777700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200501000967 WI Practitioner - Qualified Speech Language Pathologist 0547690729 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2091WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Monroe Clinic, Inc. CurrentSince Mar 1, 2020 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Prairie Ridge Health, Inc. Past Accepting new patients
Richland Hospital Past Accepting new patients
Sauk Prairie Healthcare Inc Past Accepting new patients

Locations

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a87187e5-fe2f-447e-bf32-4eeb3954a735/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1609057595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 INDEPENDENCE LN",
            "city": "SAUK CITY",
            "state": "WI",
            "postal_code": "535831381",
            "telephone_number": "608-643-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 INDEPENDENCE LN",
            "city": "SAUK CITY",
            "state": "WI",
            "postal_code": "535831381",
            "telephone_number": "608-643-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORACHEK",
        "first_name": "LEA ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42777700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sauk City, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.