Active NPI
Jamie Lynn Gawle, M.S., CCC-SLP
- Speech-Language Pathologist
- Milwaukee, WI
National Provider Identifier
1689283608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6340-154
- Practice address
- 1000 N 92ND St
Milwaukee, WI 53226-3533 - Phone
- (414) 479-9460
- NPI assigned
- Jul 26, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.014772 | IL | |
| Speech-Language Pathologist | 235Z00000X | 6340-154 | WI | Primary |
Addresses
Primary practice location
1000 N 92ND St
Milwaukee, WI 53226-3533
Mailing address
1241 Cleveland Ave
La Grange Park, IL 60526-1305
Phone (708) 227-7741
Other names 1
- Jamie Lynn Payne
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.014772 | IL | MD | Speech-Language Pathologist |
| 6340-154 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694304000000",
"number": "1689283608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 CLEVELAND AVE",
"city": "LA GRANGE PARK",
"state": "IL",
"postal_code": "605261305",
"telephone_number": "708-227-7741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N 92ND ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263533",
"telephone_number": "414-479-9460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAWLE",
"first_name": "JAMIE",
"middle_name": "LYNN",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-26",
"last_updated": "2023-09-10",
"certification_date": "2023-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.014772",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "6340-154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "PAYNE",
"middle_name": "LYNN",
"credential": "M.S., CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 10, 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.