Laura Anton Ia Nitsche, CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2415154 Issued in WI

Practice address

618 Beaser Avenue
Ashland, WI 54806

Phone

(715) 682-2363

Fax

(715) 682-7244

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cooperative Educational Service Agency #12

  • Local Education Agency (LEA)
  • Ashland, WI
  • NPI 1851570022
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770669269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 CHAPPLE AVENUE",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "54806",
            "telephone_number": "715-682-2363",
            "fax_number": "715-682-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 BEASER AVENUE",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "54806",
            "telephone_number": "715-682-2363",
            "fax_number": "715-682-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITSCHE",
        "first_name": "LAURA",
        "middle_name": "ANTON IA",
        "name_prefix": "Ms.",
        "credential": "CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2415154",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "596569",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "7689",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42578800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbra A Nevala, APRN, FNP, PMHNP
• New Horizons North Inc (Calm Waters Wellness)
• New Horizons North, Inc.
• New Horizons North, Inc.
• Jennifer Newago, B.S., R.N.
• Dale T Nixon, DDS
• Brian Lee Nordin, SAC
• Northern Waters Ophthalmology SC
• Northland Counseling Services LTD
• NSH Ashland LLC (Ashland Health Services)

• Speech-Language Pathologist in Ashland, WI
• Providers in Ashland, 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 Jul 8, 2007; 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.