Katelyn Marie Goodney

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14520338 Issued in WI

Practice address

420 S Wacouta Ave
Prairie Du Chien, WI 53821-1924

Phone

(608) 326-3700

NPI assigned

Apr 28, 2026

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 names 1

• Katelyn Marie Van Buren Former name

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 and National Provider Directory roles.

• Cesa #3

  • Local Education Agency (LEA)
  • Fennimore, WI
  • NPI 1609042027
  NPD (past)

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1609712876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 INDUSTRIAL DR",
            "city": "FENNIMORE",
            "state": "WI",
            "postal_code": "538099578",
            "telephone_number": "608-822-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S WACOUTA AVE",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538211924",
            "telephone_number": "608-326-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODNEY",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "14520338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "VAN BUREN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas Michael Frye, D.D.S.
• Joshua Gerrity, LICSW
• Danette Gibbs, PHARMD.
• Peter Gierke, M.D.
• Katelyn K Gilman, LCSW, SAC-IT
• Sandy Z. Goree, R.D.
• Penny K Grassel, LAT
• Great River Community Medical Center, SC
• Great River Community Medical Clinic SC
• Erin M Greenya

• All providers in Prairie Du Chien, WI
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.