Active NPI
Heidi Nowitzke
- Speech-Language Pathologist
- Wausau, WI
National Provider Identifier
1730407883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1253
- Practice address
- 3200 Westhill Dr
Wausau, WI 54401-4705 - Phone
- (715) 847-2827
- NPI assigned
- May 13, 2010
- 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 | 1253 | MT | Primary |
Addresses
Primary practice location
3200 Westhill Dr
Wausau, WI 54401-4705
Mailing address
5811 Normandy St
Weston, WI 54476-3559
Phone (715) 630-6521
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403654400000",
"number": "1730407883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5811 NORMANDY ST",
"city": "WESTON",
"state": "WI",
"postal_code": "544763559",
"telephone_number": "715-630-6521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 WESTHILL DR",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014705",
"telephone_number": "715-847-2827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWITZKE",
"first_name": "HEIDI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-13",
"last_updated": "2014-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MT",
"license": "1253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.