Rachel L Dorner

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6133 Issued in WI

Practice address

810 Lincoln St
Kewaunee, WI 54216-1140

Phone

(920) 388-7037

Fax

(920) 388-7124

NPI assigned

May 18, 2023

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

• Rachel L Kinnard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1649961731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CHURCH AVE",
            "city": "CASCO",
            "state": "WI",
            "postal_code": "542059705",
            "telephone_number": "920-304-1128",
            "fax_number": "920-388-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 LINCOLN ST",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "542161140",
            "telephone_number": "920-388-7037",
            "fax_number": "920-388-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORNER",
        "first_name": "RACHEL",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "6133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "KINNARD",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Michael Coffey, BS SOCIOLOGY
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• County of Kewaunee
• County of Kewaunee
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• Mark A Fuss, PA
• Scott R Gartzke, CSAC
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• Speech-Language Pathologist in Kewaunee, WI
• Providers in Kewaunee, 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 May 18, 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.

Verify at the official NPI Registry.