Active NPI
Jodi Ann Brown, MS, CCC/SLP
- Speech-Language Pathologist
- Sturgeon Bay, WI
National Provider Identifier
1740341650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2150-154
- Practice address
- 200 North 7TH Avenue
Sturgeon Bay, WI 54235 - Phone
- (920) 743-6274
- Fax
- (920) 592-9320
- NPI assigned
- Dec 13, 2006
- Last updated
- Jul 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 2150-154 | WI | Primary |
Addresses
Primary practice location
200 North 7TH Avenue
Sturgeon Bay, WI 54235
Mailing address
5771 Timber Ridge Road
Sturgeon Bay, WI 54235
Phone (920) 559-1148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42788100 | Medicaid | WI |
Other names 1
- Ms. Jodi Ann Pierzchalski
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 |
|---|---|---|---|
| 2150-154 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1740341650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5771 TIMBER RIDGE ROAD",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "54235",
"telephone_number": "920-559-1148",
"fax_number": "920-592-9320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NORTH 7TH AVENUE",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "54235",
"telephone_number": "920-743-6274",
"fax_number": "920-592-9320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JODI",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MS, CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "2150-154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42788100",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JODI",
"last_name": "PIERZCHALSKI",
"middle_name": "ANN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sturgeon Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.