Active NPI
Shelley Laitinen, CCC-SLP
- Speech-Language Pathologist
- Milwaukee, WI
National Provider Identifier
1619634433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3103-154
- Practice address
- 8701 Watertown Plank Rd
Milwaukee, WI 53226-3548 - Phone
- (414) 955-8296
- NPI assigned
- Nov 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3103-154 | WI | Primary |
Addresses
Primary practice location
8701 Watertown Plank Rd
Milwaukee, WI 53226-3548
Mailing address
N99W14553 Twin Meadows Dr
Germantown, WI 53022-6612
Phone (773) 615-1484
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3103 | WI | MD | Chiropractor |
| 3103-154 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1619634433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N99W14553 TWIN MEADOWS DR",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530226612",
"telephone_number": "773-615-1484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 WATERTOWN PLANK RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263548",
"telephone_number": "414-955-8296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAITINEN",
"first_name": "SHELLEY",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-29",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "3103-154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.