Active NPI
Keely E. Bauer, M.S., CCC-SLP
- Speech-Language Pathologist
- Reedsburg, WI
National Provider Identifier
1770539199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2509
- Practice address
- 2357 Ernstmeyer Rd
Reedsburg, WI 53959-2566 - Phone
- (608) 415-0002
- NPI assigned
- May 26, 2006
- 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 | 2509 | WI | Primary |
Addresses
Primary practice location
2357 Ernstmeyer Rd
Reedsburg, WI 53959-2566
Mailing address
2357 Ernstmeyer Rd
Reedsburg, WI 53959-2566
Phone (608) 415-0002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42801100 | Medicaid | WI |
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 |
|---|---|---|---|
| 2509 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1770539199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2357 ERNSTMEYER RD",
"city": "REEDSBURG",
"state": "WI",
"postal_code": "539592566",
"telephone_number": "608-415-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2357 ERNSTMEYER RD",
"city": "REEDSBURG",
"state": "WI",
"postal_code": "539592566",
"telephone_number": "608-415-0002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "KEELY",
"middle_name": "E.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "2509",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42801100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reedsburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.