Madeline Kreis, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6069-154 Issued in WI

Practice address

1100 Commerce Dr Ste 103
Mt Pleasant, WI 53406-3700

Phone

(262) 497-7270

Fax

(877) 530-0135

NPI assigned

Sep 12, 2022

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

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.

• Playlab Collective, Inc

  • Speech-Language Pathologist
  • Greendale, WI
  • NPI 1912896275
  NPD (past)
• The Playroom, Inc

  • Occupational Therapist
  • Mount Pleasant, WI
  • NPI 1144664293

  Speech-Language Pathologist

  NPD (past)
• Xaris, Inc.

  • Speech-Language Pathologist
  • Mount Pleasant, WI
  • NPI 1891048211
  NPD (past)

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1629790217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 COMMERCE DR STE 103",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534063700",
            "telephone_number": "262-497-7270",
            "fax_number": "877-530-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 COMMERCE DR STE 103",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534063700",
            "telephone_number": "262-497-7270",
            "fax_number": "877-530-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIS",
        "first_name": "MADELINE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "6069-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Kosa
• Molly Koser, PHARMD
• Jessica T Kosmal, DPT
• Katelin Christine Kowalkowski, DPT
• Rachael Kozinski
• Alicia Krell
• Jeffrey Thomas Vaughan Kroeger, CRNA
• Claire Kromm, DPT
• Daryl L Kruse, OD
• Mickey Kucak, LCSW

• Speech-Language Pathologist in Mt Pleasant, WI
• Providers in Mt Pleasant, 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 Sep 12, 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.