Cream City Abilities

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

CREAM CITY ABILITIES

Practice address

7916 Gridley Ave
Wauwatosa, WI 53213-3170

Phone

(630) 303-0942

NPI assigned

Nov 14, 2024

Last updated

Dec 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauryn EichstaedtNPI 1710581475

Title

Ceo

Phone

(414) 454-9223

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauryn Eichstaedt, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Wauwatosa, WI
  • NPI 1710581475
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1801610811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 GRIDLEY AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532133170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7916 GRIDLEY AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532133170",
            "telephone_number": "630-303-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREAM CITY ABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "EICHSTAEDT",
        "authorized_official_first_name": "LAURYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-454-9223"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reanne Parson Covey
• Joshua Daren Covington, D.O.
• Amber Craig, PHD
• Kathryn E. Craig, RDN, CD
• James A Cranberg, M.D.
• Mark R Crego, DDS
• Michael Crimmins, MD
• James Jeffrey Crisco, PH.D.
• Julia Kristin Crivello
• Lauren Croal, D.P.T.

• Speech-Language Pathologist in Wauwatosa, WI
• Providers in Wauwatosa, 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 Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.