Lynne Giacomino Dugolenski, M.A.,CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

294-154 Issued in WI

Practice address

2817 New Pinery Rd
Suite 103
Portage, WI 53901-9257

Phone

(608) 745-6290

Fax

(608) 745-6250

NPI assigned

Nov 9, 2007

Last updated

Nov 9, 2007By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Divine Savior Healthcare

  • Rural Acute Care Hospital
  • Portage, WI
  • NPI 1346543246
  NPD (past)
• Divine Savior Healthcare

  • Rural Acute Care Hospital
  • Portage, WI
  • NPI 1700189602
  NPD (past)

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1659551380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 NEW PINERY RD",
            "address_2": "SUITE 103",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019257",
            "telephone_number": "608-745-6290",
            "fax_number": "608-745-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 NEW PINERY RD",
            "address_2": "SUITE 103",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019257",
            "telephone_number": "608-745-6290",
            "fax_number": "608-745-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGOLENSKI",
        "first_name": "LYNNE",
        "middle_name": "GIACOMINO",
        "credential": "M.A.,CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "294-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42612100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn Doherty, D.O.
• Ciara Doremus
• Kathleen Doyle, MD
• Jessica Rose Dredske, DC
• DRS Elliott & Webb, S.C.
• Eas-Z Medical Transport LLC
• Lana Marie Edwards, MS CCCSLP
• Kelsey Ehlert, BSN, RN
• Eric Allen Eichline, LPN
• Kaitlin Eichman, DPT

• Speech-Language Pathologist in Portage, WI
• Providers in Portage, 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 Nov 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.

Verify at the official NPI Registry.