Jann Fujimoto, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2979154 Issued in WI

Practice address

2195 N Summit Village Way
Oconomowoc, WI 53066-8675

Phone

(262) 506-2423

NPI assigned

Apr 21, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1740424779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 N SUMMIT VILLAGE WAY",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530668675",
            "telephone_number": "262-506-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 N SUMMIT VILLAGE WAY",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530668675",
            "telephone_number": "262-506-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJIMOTO",
        "first_name": "JANN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2979154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forefront Dermatology, S.C.
• Ashley L Frechette, LPC
• Bradley Fritz, DC
• Vanessa Fritz, D.C.
• Lianne Froemming, OT
• Sharon M Gaffney, LPC
• Matthew Garcia
• Kathleen E. Garvey, M.D.
• Katherine Elizabeth Gatlin, LPC
• Terrence J Gaynor, M.D.

• Speech-Language Pathologist in Oconomowoc, WI
• Providers in Oconomowoc, 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 Sep 3, 2013; 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.