Active NPI
Carmen Jean Magee, SLP
- Speech-Language Pathologist
- Friendship, WI
National Provider Identifier
1659491991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 605-154
- Practice address
- 201 S Park Ave
Friendship, WI 53934-9377 - Phone
- (608) 339-3361
- Fax
- (608) 339-9468
- NPI assigned
- Mar 30, 2007
- 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 | 605-154 | WI | Primary |
Addresses
Primary practice location
201 S Park Ave
Friendship, WI 53934-9377
Mailing address
N7042 County Trunk E
Westfield, WI 53964
Phone (608) 296-3526
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42719200 | Medicaid | WI |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 605-154 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1659491991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N7042 COUNTY TRUNK E",
"city": "WESTFIELD",
"state": "WI",
"postal_code": "53964",
"telephone_number": "608-296-3526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S PARK AVE",
"city": "FRIENDSHIP",
"state": "WI",
"postal_code": "539349377",
"telephone_number": "608-339-3361",
"fax_number": "608-339-9468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGEE",
"first_name": "CARMEN",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "605-154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42719200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Friendship, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.